Organization
MONTGOMERY COUNTY MARYLAND GOVERNMENT
Active
Parent organization
MONTGOMERY COUNTY MARYLAND GOVERNMENT
Other names
Gaithersburg HS School Based Wellness Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
MONTGOMERY COUNTY MARYLAND GOVERNMENT
Authorized official
DIANA AZUCENA CORTEZ (MANAGEMENT)
(240) 672-6758
Entity
Organization
Contact information
Practice address
314 S FREDERICK AVE, GAITHERSBURG, MD 20877-2307
(240) 777-1571
(301) 284-4701
Mailing address
401 HUNGERFORD DR FL 6, ROCKVILLE, MD 20850-4154
(240) 777-4520
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
—
—
261QS1000X
Student Health Clinic/Center
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/12/2013
Last updated
09/09/2025
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