| NPI | 1740326917 |
|---|---|
| Other Name | PEDIATRIC RESOURCE CENTER |
| Entity Type | Organization |
| Authorized Contact | GREG GOMBAR Administrator 704-355-2154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2011-04-19 |