| NPI | 1346377041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN LANE MORRIS Administrator 704-633-1985 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NC FCL-080-001) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2008-07-31 |