| NPI | 1740312107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA L FREELEY Nc Billing System Supervisor 704-344-0491 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2018-12-04 |