| NPI | 1124642756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA ANDREW UMANAH Director 704-287-8534 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2020-05-29 |
| Last Update Date | 2020-05-29 |