| NPI | 1154581858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL ZINKENG ASONGANYI Chief Executive Officer 240-782-0094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2008-06-16 |