| NPI | 1841244126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN T LEE President 410-939-2840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: MD D0020661) |
| Additional Taxonomies | 302R00000X Health Maintenance Organization (Licence: MD D0020661) |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2020-08-22 |