| NPI | 1992840003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GWENDOLYN REED Chief Executive Officer 704-694-6700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| 207Q00000X Family Medicine | |
| 261QC1500X Clinic/Center Community Health | |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2024-07-12 |