| NPI | 1912125329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA CHURCH Bookkeeper 704-932-3412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable (Licence: NC SL000240) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2013-01-17 |