| NPI | 1124661756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HASHIM ATTAHIRU CEO 443-340-4936 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2019-10-27 |
| Last Update Date | 2020-10-28 |