| NPI | 1942767702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL REITER Corporate Compliance Specialist 888-703-6999 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2019-02-27 |
| Last Update Date | 2019-02-27 |