| NPI | 1053557496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ELIZABETH PORRAS KANTROWITZ Accounts Receivable 704-536-0375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NC MHL-060-017) |
| Enumeration Date | 2009-01-06 |
| Last Update Date | 2017-11-09 |