| NPI | 1538416128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISBET MEGAN KERSTING Program Director 508-876-8074 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2012-08-14 |
| Last Update Date | 2012-08-14 |