| NPI | 1750563771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA DEVILLIER Partner 888-669-6863 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: LA RN059946) |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2007-11-30 |