| NPI | 1861527335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE E. BLACK Director 336-401-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: NC 104100000x) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2020-08-22 |