| NPI | 1518343599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NWABIANI EGBARIN CEO 240-324-2716 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: MD HCSA9912124) |
| Enumeration Date | 2015-07-31 |
| Last Update Date | 2015-07-31 |