| NPI | 1154088391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA AMBROISE CEO 704-258-3722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| Enumeration Date | 2021-11-22 |
| Last Update Date | 2023-09-06 |