| NPI | 1396966404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSALIE B. POHL Office Manager 757-495-4616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: VA 0904-001271) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2020-08-22 |