| NPI | 1992435762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INEZ WILLIAMSON Program Manager 704-690-0152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 251300000X Local Education Agency (LEA) |
| 251B00000X Case Management | |
| 251C00000X | |
| 251K00000X Public Health or Welfare | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2022-06-14 |
| Last Update Date | 2022-06-14 |