NPI | 1528226610 |
---|---|
Other Name | SELECT MLTC |
Entity Type | Organization |
Authorized Contact | RICHARD ROSEN VP Finance 347-640-6050 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization |
Enumeration Date | 2008-05-27 |
Last Update Date | 2012-03-09 |