| NPI | 1477098986 |
|---|---|
| Doing Business As | CARESOURCE |
| Entity Type | Organization |
| Authorized Contact | PAMELA MORRIS CEO 937-531-2201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service |
| Additional Taxonomies | 302F00000X Exclusive Provider Organization |
| 302R00000X Health Maintenance Organization | |
| Enumeration Date | 2016-12-20 |
| Last Update Date | 2016-12-20 |