| NPI | 1861441719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARITA M GRISHKOFF President 704-544-5244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: NC 122951) |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2009-04-29 |