| NPI | 1427452952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID L FACTOR Owner 855-200-8262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: GA 56829) |
| Enumeration Date | 2014-10-13 |
| Last Update Date | 2014-10-13 |