| NPI | 1851480891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONIA GOODEN-ALEXIS Self 919-323-0381 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: NC 6748) |
| Additional Taxonomies | 251K00000X Public Health or Welfare (Licence: MA 5736) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2008-11-17 |