| NPI | 1417589904 |
|---|---|
| Doing Business As | WITNESS CARES, LLC |
| Entity Type | Organization |
| Authorized Contact | DETRIC D JOHNSON President 716-302-4137 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2020-02-12 |
| Last Update Date | 2020-02-12 |