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 |