| NPI | 1780031542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH D DAVIS Self 919-735-3311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NC CSAC-15582) |
| Enumeration Date | 2016-05-20 |
| Last Update Date | 2016-05-20 |