| NPI | 1255084836 |
|---|---|
| Doing Business As | CCHS WELLNESS CTR BALTZ ELEMENTARY |
| Entity Type | Organization |
| Authorized Contact | ROBERT W MCMURRAY CFO 302-428-2522 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health |
| Additional Taxonomies | 208000000X Pediatrics |
| 363L00000X Nurse Practitioner | |
| 363LS0200X Nurse Practitioner, School | |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2022-02-02 |
| Last Update Date | 2022-05-25 |