| NPI | 1134680200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLEEN SWINTON Director, Credentialing 301-257-2797 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2019-03-29 |
| Last Update Date | 2025-07-24 |