| NPI | 1730345687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEKUS E MBANUZI Co Owner 704-375-3966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NC 302R00000X) |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2008-07-31 |