NPI | 1104128925 |
---|---|
Entity Type | Organization |
Authorized Contact | THERESA A JACKSON I Have No Idea 301-816-7405 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: MD 10800) |
Enumeration Date | 2010-11-30 |
Last Update Date | 2021-05-26 |