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 |