| NPI | 1730216656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON DAVIS Director 704-865-5613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2008-05-12 |