| NPI | 1588769947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILKOFF SUSAN Utilization Management Director 301-493-4200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2022-07-21 |