| NPI | 1780875120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA M THOMPSON President 202-296-7963 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: DC MD17018) |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2008-07-24 |