| NPI | 1073928487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLENE NATALEE OROSCO CEO 757-286-6054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: VA 2348) |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2014-07-03 |