NPI | 1053431106 |
---|---|
Other Name | SBHC GAITHERSBURG ES |
Doing Business As | GAITHERSBURG SCHOOL BASED HEALTH CLINIC |
Entity Type | Organization |
Authorized Contact | DIANA AZUCENA CORTEZ Management 240-672-6758 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2007-03-30 |
Last Update Date | 2025-09-09 |