| NPI | 1295565810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINDY MILLINGTON Owner 704-227-1669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QC1800X Clinic/Center, Corporate Health | |
| 261QR0800X Clinic/Center, Recovery Care | |
| Enumeration Date | 2024-08-07 |
| Last Update Date | 2024-08-07 |