| NPI | 1821237835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN DO CEO 757-447-7333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: VA 0401411673) |
| Enumeration Date | 2009-02-13 |
| Last Update Date | 2011-02-15 |