| NPI | 1386955805 |
|---|---|
| Other Name | STATESVILLE TCM |
| Entity Type | Organization |
| Authorized Contact | DEENA OMBRES Privacy Officer 502-394-2387 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2010-06-30 |