NPI | 1740636216 |
---|---|
Doing Business As | WHEATON HIGH SCHOOL BASED WELLNESS CENTER |
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 | 2016-06-09 |