| NPI | 1346796885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLON NMN WILSON President 410-977-8452 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: MD MH-2077) |
| Enumeration Date | 2016-08-25 |
| Last Update Date | 2016-08-25 |