| NPI | 1740729045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAKEEA BROWN Clinical Social Worker 240-462-7180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: MD 22489) |
| Enumeration Date | 2017-02-20 |
| Last Update Date | 2017-02-20 |