| NPI | 1255572301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES EGBE Chief Administrative Officer 410-292-8440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2009-03-19 |
| Last Update Date | 2009-03-19 |