NPI | 1811433444 |
---|---|
Entity Type | Organization |
Authorized Contact | CLARENCE LAWING Program Director 704-985-1189 |
Organization Subpart ? | Yes |
Primary Taxonomy | 251S00000X (Licence: TN I000000021371) |
Additional Taxonomies | 251S00000X (Licence: TN I000000019328) |
Enumeration Date | 2017-01-06 |
Last Update Date | 2018-03-14 |