| NPI | 1215064431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN LANE MORRIS Administrator 336-751-2214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NC fcl-030-002) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2020-08-22 |