| NPI | 1972349348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAPOLEON LEE CROWELL Executive Director 704-975-1727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center Community Health |
| Enumeration Date | 2024-07-05 |
| Last Update Date | 2024-07-05 |