NPI | 1851748297 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK SMITH Head Athletic Trainer 410-259-8548 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: MD A0000845) |
Enumeration Date | 2016-05-16 |
Last Update Date | 2016-05-16 |