| NPI | 1881039071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC RONALD WEST President 919-780-2137 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service |
| Additional Taxonomies | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2013-05-02 |
| Last Update Date | 2013-05-02 |