| NPI | 1649443912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE SPENCER Director Of Operations 262-834-4193 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2020-11-18 |