| NPI | 1457737926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OBINNA OKECHUKWU OLOWU Administrator 678-836-9799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: GA 048-R-1373) |
| Enumeration Date | 2015-08-06 |
| Last Update Date | 2015-08-06 |