| NPI | 1568506400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE WAGNER Office Manager 724-946-3800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: PA DC006645L) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2020-08-22 |