| NPI | 1871739821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELODY TAYLOR President 704-207-7023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2008-12-22 |
| Last Update Date | 2008-12-23 |