Prevention &management Outreach Clinic Inc.
NPI #1619122504 in Columbia, Maryland
Provider Information
- NPI Number
- 1619122504
- Entity Type
- Organization
- Organization Name
- Prevention &management Outreach Clinic Inc.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- 438-31-0969
- Primary Specialty
- Preferred Provider Organization
- Enumeration Date
- Nov 19, 2008
- Last Updated
- Nov 19, 2008
Practice Location
Authorized Official
- Name
- MS. LISA BUSH
- Title
- PRESIDENT/CEO
- Phone
- (410) 312-3126
Specialties & Taxonomy Codes
| Specialty |
|---|
| Preferred Provider Organization |
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