Provider First Line Business Practice Location Address:
6925 OLD WATERLOO ROAD
Provider Second Line Business Practice Location Address:
HCHD DEEP RUN ELEMENTARY SCHOOL-BASED WELLNESS CENTER
Provider Business Practice Location Address City Name:
ELKRIDGE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21075
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-313-7238
Provider Business Practice Location Address Fax Number:
410-313-6108
Provider Enumeration Date:
06/26/2017