NPI | 1851653463 |
---|---|
Entity Type | Organization |
Authorized Contact | CAROLYN ROSS Local Care Coordinator 443-472-2975 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: MD R158881) |
Enumeration Date | 2012-06-10 |
Last Update Date | 2014-05-28 |