| NPI | 1053641670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY LAVAR FREEMAN President 704-906-3585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: NC 5090) |
| Enumeration Date | 2010-01-04 |
| Last Update Date | 2010-01-04 |