| NPI | 1114247301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL B MOHEBAN Owner 508-756-6264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: MA 20965) |
| Enumeration Date | 2010-06-10 |
| Last Update Date | 2010-06-10 |