| NPI | 1679118228 |
|---|---|
| Doing Business As | KINTEGRA AT ST. STEPHENS HIGH |
| Entity Type | Organization |
| Authorized Contact | SHARMILA ALEXANDER ANDERSON Business Services Administrator 704-874-1907 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2019-11-07 |
| Last Update Date | 2019-12-20 |