| NPI | 1932591054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY L MARINO Office Manager 724-348-7681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: PA DS027780-L) |
| Enumeration Date | 2015-02-26 |
| Last Update Date | 2015-02-26 |