NPI | 1669479077 |
---|---|
Entity Type | Organization |
Authorized Contact | GWENDOLYN ELISE REED CEO 704-694-1475 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NC 2003-01021) |
Enumeration Date | 2005-06-30 |
Last Update Date | 2020-08-22 |