| NPI | 1073746640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEON COLLINS CEO/ Owner 301-524-4064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: MD L04788) |
| Enumeration Date | 2009-08-31 |
| Last Update Date | 2009-09-10 |