NPI | 1689010753 |
---|---|
Entity Type | Organization |
Authorized Contact | JACK MARCELLOUS PHILLIPS Executive Director/CEO 704-392-9220 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X (Licence: NC MHL-060-1083) |
Enumeration Date | 2013-05-16 |
Last Update Date | 2013-05-16 |