NPI | 1528242955 |
---|---|
Entity Type | Organization |
Authorized Contact | DARLENE HURST RAY Accounts Manager 410-228-4616 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: MD 208600000X) |
Enumeration Date | 2007-12-20 |
Last Update Date | 2007-12-20 |