| NPI | 1275911653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA ROSETTA WILSON Resident Counselor 240-478-2727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2015-05-18 |
| Last Update Date | 2019-11-27 |