| NPI | 1457849093 |
|---|---|
| Other Name | PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT-SBW- NORTHWESTERN |
| Entity Type | Organization |
| Authorized Contact | TAMALA BUTLER Credentialing Specialist 301-883-7822 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health |
| Enumeration Date | 2018-04-30 |
| Last Update Date | 2020-09-17 |