| NPI | 1063816247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE A GRIGG Owner 828-544-5085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: NC 7837) |
| Enumeration Date | 2014-10-16 |
| Last Update Date | 2014-10-16 |