| NPI | 1346484284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY B. LASSITER CEO/Founder 704-414-6500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NC 201762) |
| Additional Taxonomies | 103TH0100X Psychologist Health Service (Licence: NC 1131) |
| 1041C0700X Social Worker Clinical (Licence: NC C005404) | |
| Enumeration Date | 2009-04-22 |
| Last Update Date | 2009-04-22 |