| NPI | 1528363868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN C ALLISON Chief Executive Officer 704-316-6561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2011-01-18 |
| Last Update Date | 2020-10-08 |