| Patuxent Valley Middle School-based Wellness Center | |
|
9151 Vollmerhausen Rd Jessup MD 20794-9517 | |
| (410) 313-6359 | |
| (410) 313-4250 |
| Full Name | Patuxent Valley Middle School-based Wellness Center |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 9151 Vollmerhausen Rd, Jessup, Maryland |
| Authorized Official Name and Position | Carletta Mcknight (FISCAL ACCOUNTS CLERK MANAGER) |
| Authorized Official Contact | 4103136359 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Patuxent Valley Middle School-based Wellness Center 8930 Stanford Blvd Columbia MD 21045-5805 Ph: (410) 313-6300 | Patuxent Valley Middle School-based Wellness Center 9151 Vollmerhausen Rd Jessup MD 20794-9517 Ph: (410) 313-6359 |
| NPI Number | 1730632746 |
|---|---|
| Provider Enumeration Date | 07/26/2016 |
| Last Update Date | 09/02/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730632746 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | (* (Not Available)) | Primary |