| NPI | 1609880566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA ELAINE HAGLER Financial Manager 704-944-7313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NC 201593) |
| Additional Taxonomies | 174400000X Specialist (Licence: NC 28788) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2011-04-18 |