| NPI | 1215102918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE M. COLEMAN Admnistrative Director 910-797-5154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2008-04-24 |