| NPI | 1538556311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ED HOOD Chief Executive Officer 662-488-8878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: MS 911) |
| Enumeration Date | 2015-04-20 |
| Last Update Date | 2015-04-20 |