| NPI | 1952733743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHIE H BROWN Executive Director 304-233-1135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: WV 43814) |
| Enumeration Date | 2013-08-02 |
| Last Update Date | 2013-08-02 |