| NPI | 1578721361 |
|---|---|
| Former Legal Business Name | NONE |
| Entity Type | Organization |
| Authorized Contact | DAVID O ETUTE President/CEO 757-201-3502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2010-12-22 |