| NPI | 1982903662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LETTICE ANNETTE MIDGETTE Executive Director 919-434-4735 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NC 53062926472) |
| Enumeration Date | 2011-03-21 |
| Last Update Date | 2015-05-20 |