| NPI | 1598101974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN D DAVIS President 704-360-4564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X |
| Additional Taxonomies | 261QP3300X Clinic/Center, Pain (Licence: NC 201516) |
| Enumeration Date | 2013-05-13 |
| Last Update Date | 2024-09-19 |