| NPI | 1457874307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA FREELEY Nc Billing System Supervisor 704-344-0491 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2017-07-24 |
| Last Update Date | 2017-07-24 |