NPI | 1962741751 |
---|---|
Entity Type | Organization |
Authorized Contact | PATRICIA DUBE President/CEO 404-910-4209 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: GA 12044976) |
Enumeration Date | 2013-02-13 |
Last Update Date | 2015-02-04 |