| NPI | 1770971186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAUN J BROWN COO 919-539-2244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 1416727) |
| Additional Taxonomies | 302R00000X Health Maintenance Organization (Licence: NC 1416727) |
| Enumeration Date | 2015-01-07 |
| Last Update Date | 2015-01-07 |