| NPI | 1043475718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANISA CHUN KONG Director 704-865-6126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: NC 888) |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2008-07-22 |