| NPI | 1679914238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERIA CANDELARIO Senior Social Worker 410-383-7760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: MD G12677) |
| Enumeration Date | 2013-07-11 |
| Last Update Date | 2013-07-11 |