| NPI | 1578090379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIM WOOD Executive Director 704-787-6869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |