| NPI | 1831533405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAH DAVENPORT CEO/Founder 678-755-5580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Additional Taxonomies | 305R00000X Preferred Provider Organization |
| Enumeration Date | 2013-04-25 |
| Last Update Date | 2013-04-25 |