| NPI | 1003293218 |
|---|---|
| Doing Business As | MEDHEALTH @ WAVERLY |
| Entity Type | Organization |
| Authorized Contact | WILLIAM GREEN CEO 410-467-6040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 122300000X Dentist | |
| 124Q00000X Dental Hygienist | |
| 126800000X Dental Assistant | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2015-04-27 |
| Last Update Date | 2015-04-27 |