| NPI | 1861627895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA GLOVER Clinical Manager 717-975-8676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NJ 28RI02375600) |
| Enumeration Date | 2009-05-19 |
| Last Update Date | 2009-05-19 |