NPI | 1922022607 |
---|---|
Entity Type | Organization |
Authorized Contact | MARGARET WELLER STARGELL President & CEO 910-790-0187 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X (Licence: NC mhl-065-011) |
Additional Taxonomies | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: NC MHL-065-011) |
Enumeration Date | 2006-07-27 |
Last Update Date | 2014-07-28 |