| NPI | 1114474459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHANNE MESIDOR-DORSAINVIL Chief Executive Officer 215-668-5769 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2016-09-03 |
| Last Update Date | 2016-09-03 |