| NPI | 1811320583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES TONG CFO 216-707-3408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: OH 930439) |
| Enumeration Date | 2013-08-16 |
| Last Update Date | 2022-07-21 |