| NPI | 1588079578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MORGAN DENISE THOMASJETER Owner 443-955-3202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: ND 54402) |
| Enumeration Date | 2014-06-27 |
| Last Update Date | 2014-06-27 |