| NPI | 1316124332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER BRIAN O'MALLEY Owner/Director 704-375-8900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: NC 200001523745) |
| Enumeration Date | 2008-01-22 |
| Last Update Date | 2008-01-22 |