| NPI | 1629433248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROOSEVELT COHENS CEO 202-373-2853 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: DC LC50080419) |
| Additional Taxonomies | 305R00000X Preferred Provider Organization (Licence: DC LC50080419) |
| Enumeration Date | 2015-12-26 |
| Last Update Date | 2015-12-26 |