| NPI | 1790058980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK GREENSPAN President 888-700-0083 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Additional Taxonomies | 305S00000X Point of Service |
| Enumeration Date | 2012-02-17 |
| Last Update Date | 2012-02-17 |