| NPI | 1205141520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA L FREELEY Nc Billing System Supervisor 704-953-0827 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2010-08-11 |
| Last Update Date | 2020-01-27 |