Organization
BALTIMORE COUNTY MARYLAND
Active
Other names
Dept of Health - Mars Estates School Wellness Ctr
Organization subpart
No
Provider details
NPI number
Authorized official
TONIA ROSS (BILLING MANAGER)
(410) 887-0684
Entity
Organization
Contact information
Practice address
1500 E HOMBERG AVE, ESSEX, MD 21221-3717
(410) 887-4130
(410) 377-9646
Mailing address
6401 YORK RD, 3RD FLOOR, BALTIMORE, MD 21212-2152
(410) 887-2077
(410) 377-9646
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420943500
—
MD
Enumeration date
12/22/2011
Last updated
07/08/2025
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