Physician Group Wpcc

NPI #1568508927 in Baltimore, Maryland

Provider Information

NPI Number
1568508927
Entity Type
Organization
Organization Name
Physician Group Wpcc
Primary Specialty
Psychiatric Unit
Enumeration Date
Jan 30, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
630 W FAYETTE ST
ZIP Code
21201-1543
Phone
(410) 209-6201

Authorized Official

Name
MR. ARCHIE T. WALLACE, MBA
Title
CEO
Phone
(410) 209-6201

Specialties & Taxonomy Codes

Specialty
Psychiatric Unit

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