| NPI | 1952514127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK HICKMAN C.E.O. 800-223-3869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: CA RI-S0510041354) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2020-08-22 |