| NPI | 1922439165 |
|---|---|
| Other Name | GR - SAIOP |
| Entity Type | Organization |
| Authorized Contact | PAMELA L FREELEY Nc Billing System Supervisor 704-344-0491 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2013-12-12 |
| Last Update Date | 2021-02-04 |