| NPI | 1851719389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRIS WHITLOCK Office Manager 704-962-1924 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NC A10758) |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2014-05-01 |