| NPI | 1770741654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANYA L DIAZ Account Executive 704-369-3291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 225200000X Physical Therapy Assistant |
| 172V00000X Community Health Worker | |
| 246RM2200X Technician, Pathology, Medical Laboratory | |
| 251K00000X Public Health or Welfare | |
| 103TC1900X Psychologist, Counseling | |
| 171000000X Military Health Care Provider | |
| 251S00000X | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| 291U00000X Clinical Medical Laboratory | |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2019-11-16 |