| NPI | 1952747826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK MARCELLOUS PHILLIPS Executive Director/CEO 704-392-9220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NC MHL-060-166) |
| Enumeration Date | 2013-05-17 |
| Last Update Date | 2013-05-17 |