| NPI | 1366768350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE DIONNE BROWN Administrator/CEO 809-396-8950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2010-04-15 |
| Last Update Date | 2010-04-27 |