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 | 261QS1000X Clinic/Center, Student Health |
Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2013-07-12 |
Last Update Date | 2024-08-07 |