| NPI | 1811563158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA WEEKS CEO 704-393-7720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2021-05-27 |
| Last Update Date | 2021-06-15 |