Organization
BALTIMORE COUNTY MARYLAND
Active
Other names
Bridge Center School Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID C TAYLOR (PRIVACY OFFICER)
(410) 887-2077
Entity
Organization
Contact information
Practice address
1740 TWIN SPRINGS RD, BALTIMORE, MD 21227-3526
(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
—
420944300
—
MD
Enumeration date
01/06/2012
Last updated
04/22/2014
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