| NPI | 1376556522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAROLD PAGAN HOPE Medical Director 704-587-1415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable (Licence: NC NC19168) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2023-03-07 |