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 |