| NPI | 1952454571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN E. METCALF Administrator 423-935-6469 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: TX 800758567) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2020-08-22 |