| NPI | 1376775627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRIE MILLER Director 410-887-3828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: MD SC1241) |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2009-08-20 |