| NPI | 1841021227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CEDRIC DEAN CEO 704-492-5509 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Additional Taxonomies | 305R00000X Preferred Provider Organization |
| Enumeration Date | 2024-08-08 |
| Last Update Date | 2024-08-08 |