| NPI | 1477639631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL MARY INGATE Clinical Supervisor 240-777-1384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: MD 265391500) |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2008-06-16 |