| NPI | 1366821191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD LONGO CEO & Managing Director 704-650-9830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2015-05-26 |