| NPI | 1497572689 |
|---|---|
| Other Name | CCP MMA-REGION G |
| Entity Type | Organization |
| Authorized Contact | LUPE RIVERO SVP & Chief Business Dev Officer 954-622-3237 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2024-09-20 |
| Last Update Date | 2024-09-20 |