Organization
MONTGOMERY COUNTY MARYLAND GOVERNMENT
Active
Parent organization
MONTGOMERY COUNTY SCHOOL BASED HEALTH CENTER
Other names
SBHC South Lake ES
Organization subpart
Yes
Provider details
NPI number
Legal business name
MONTGOMERY COUNTY SCHOOL BASED HEALTH CENTER
Authorized official
DIANA AZUCENA CORTEZ (MANAGEMENT)
(240) 672-6758
Entity
Organization
Contact information
Practice address
18201 CONTOUR RD, GAITHERSBURG, MD 20877-2601
(240) 740-7330
(301) 548-4966
Mailing address
401 HUNGERFORD DR FL 6, ROCKVILLE, MD 20850-4154
(240) 777-4520
Taxonomy
Speciality
Code
Description
License number
State
261QP0905X
State or Local Public Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/17/2023
Last updated
09/09/2025
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