| NPI | 1700371358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLEN CHRISTIAN EDWARDS Director Of Operations 804-762-6106 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2018-06-26 |