| NPI | 1679181408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD C LEE Executive Director Senior Counsel 860-273-8329 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2020-07-17 |
| Last Update Date | 2020-07-17 |