| NPI | 1194103432 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAZIA A MORIOM Owner 301-509-9043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: MD 21150) |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2015-05-06 |