| NPI | 1275658031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KESHA BARRINGTON Executive Director 704-648-6515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2010-11-23 |