| NPI | 1306168497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA B HONNEBIER Director 704-375-6766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NC 200800118) |
| Enumeration Date | 2010-02-17 |
| Last Update Date | 2010-02-17 |