| NPI | 1619206646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA BIDDLE Owner 910-480-4181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NC HC3943) |
| Enumeration Date | 2009-12-22 |
| Last Update Date | 2009-12-22 |