NPI | 1104128925 |
---|---|
Entity Type | Organization |
Authorized Contact | COLLEEN SWINTON Director, Credentialing 301-257-2797 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: MD 10800) |
Enumeration Date | 2010-11-30 |
Last Update Date | 2024-12-02 |