| NPI | 1427177369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COBY GREY Billing Manager 336-375-2240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2013-04-09 |