| NPI | 1982025391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLENA POWELL PICKERING Corporate Counsel 571-401-5886 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: FL 02) |
| Enumeration Date | 2014-01-02 |
| Last Update Date | 2023-07-27 |