| NPI | 1740636216 |
|---|---|
| Other Name | SBWC WHEATON HS |
| Entity Type | Organization |
| Authorized Contact | DIANA AZUCENA CORTEZ Management 240-672-6758 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2016-05-13 |
| Last Update Date | 2025-09-09 |