| NPI | 1568601094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC MITCHELL Director Of Operations 704-968-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization |
| Enumeration Date | 2009-02-06 |
| Last Update Date | 2009-02-06 |