| NPI | 1851718548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA MEAD Reimbursement/Contract Manager 704-865-3529 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NC MHL-018-095) |
| Enumeration Date | 2014-03-20 |
| Last Update Date | 2022-07-21 |