| NPI | 1548023930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAKESHA SHINGLER HOWELL President 704-910-0136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2024-01-30 |
| Last Update Date | 2024-06-30 |