| NPI | 1760712533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANOUCH DARVISH Owner 508-756-6264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: MA 10534) |
| Enumeration Date | 2009-12-30 |
| Last Update Date | 2009-12-30 |