| Holabird Middle Wellness Ctr | |
|
1701 Delvale Ave Baltimore MD 21222-1235 | |
| (410) 887-7151 | |
| (410) 377-9646 |
| Full Name | Holabird Middle Wellness Ctr |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 1701 Delvale Ave, Baltimore, Maryland |
| Authorized Official Name and Position | David C Taylor (HIPAA PRIVACY OFFICER) |
| Authorized Official Contact | 4108872077 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Holabird Middle Wellness Ctr 6401 York Rd 3rd Floor Baltimore MD 21212-2152 Ph: (410) 887-2077 | Holabird Middle Wellness Ctr 1701 Delvale Ave Baltimore MD 21222-1235 Ph: (410) 887-7151 |
| NPI Number | 1457784399 |
|---|---|
| Provider Enumeration Date | 08/14/2013 |
| Last Update Date | 05/05/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457784399 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | (* (Not Available)) | Primary |
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