NPI | 1902369317 |
---|---|
Entity Type | Organization |
Authorized Contact | SCOTT D WAULTERS Chief Executive Officer (C&S) 856-479-9819 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization |
Enumeration Date | 2019-04-11 |
Last Update Date | 2023-11-27 |