NPI | 1740636216 |
---|---|
Other Name | SBWC WHEATON HS |
Entity Type | Organization |
Authorized Contact | TIMOTHY FIRESTINE Chief Administrative Officer 240-777-2500 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2016-05-13 |
Last Update Date | 2024-05-23 |