| NPI | 1053760942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY BRUNSON HORTON Billing Manager 980-745-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: NC 7796) |
| Enumeration Date | 2016-06-10 |
| Last Update Date | 2018-08-30 |