| NPI | 1629799507 |
|---|---|
| Other Name | PHELPS LUCK ELEMENTARY SCHOOL-BASED WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | CARLETTA LYNN MCKNIGHT Finance 410-313-6300 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health |
| Enumeration Date | 2022-09-08 |
| Last Update Date | 2022-09-08 |