| NPI | 1164548954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS SCOTT CORBETT Director Of Clinical Services 704-566-6134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2020-08-22 |