| NPI | 1457674269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACE C PAMINTUAN CEO 704-921-6659 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: NC N 97 00121) |
| Enumeration Date | 2010-03-08 |
| Last Update Date | 2010-03-08 |