NPI | 1649540105 |
---|---|
Entity Type | Organization |
Authorized Contact | GWENDOLYN ELISE REED CEO 704-694-6700 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 104100000X Social Worker |
207Q00000X Family Medicine | |
207R00000X Internal Medicine | |
Enumeration Date | 2011-12-30 |
Last Update Date | 2024-07-12 |