| NPI | 1407215254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIMIKA TOMES Owner 704-779-3119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: FL PT26256) |
| Enumeration Date | 2016-02-22 |
| Last Update Date | 2016-02-22 |