| NPI | 1053415620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY MORRISON Provider Services Manager 704-831-5065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center Rehabilitation |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2007-07-20 |