NPI | 1598119984 |
---|---|
Entity Type | Organization |
Authorized Contact | SHEILA M FASSLER Director 704-909-9414 |
Organization Subpart ? | No |
Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: NC 200200218) |
Enumeration Date | 2016-04-21 |
Last Update Date | 2016-04-21 |