NPI | 1720429194 |
---|---|
Doing Business As | GAITHERSBURG HS SCHOOL BASED WELLNESS CENTER |
Entity Type | Organization |
Authorized Contact | JAMEELAH JOHNSON Manager 240-733-1121 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2013-07-12 |
Last Update Date | 2024-05-09 |