| NPI | 1093859076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIKKI DENISE VILLOCH Health Service Technician 202-372-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2020-08-22 |