| NPI | 1578950739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALONDA OWENS President 910-977-4610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NC hc4740) |
| Enumeration Date | 2015-04-24 |
| Last Update Date | 2015-04-24 |