| NPI | 1619124187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | M. RUTH DEVANE CEO 336-601-8143 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Additional Taxonomies | 251B00000X Case Management |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2008-08-26 |
| Last Update Date | 2008-08-26 |