| NPI | 1245298744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAMRATA PRASAD Office Administrator 703-876-6131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: VA 0101227771) |
| Additional Taxonomies | 302R00000X Health Maintenance Organization (Licence: VA 0101034067) |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2019-12-04 |