| NPI | 1710580642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANY M WATERS Owner 704-689-8037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 174H00000X Health Educator | |
| Enumeration Date | 2020-11-22 |
| Last Update Date | 2020-11-22 |