| NPI | 1881931921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK MARCELLOUS PHILLIPS Executive Director/CEO 704-921-7464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NC MHL-060-468) |
| Enumeration Date | 2013-01-09 |
| Last Update Date | 2013-01-09 |