| NPI | 1558790154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSANN RODRIGUEZ Office Manager 301-208-0002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: MD 15202) |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2013-11-04 |