| NPI | 1730952649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINA BARBEE ESTERS Authorized Official 704-520-9175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2023-11-02 |
| Last Update Date | 2024-01-12 |