| Organization Name: | BOLLMAN BRIDGE ELEMENTARY SCHOOL-BASED WELLNESS CENTER |
| NPI Number: | 1053753616 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MAURA J. ROSSMAN (HEALTH OFFICER) |
| Mailing Address: | 8200 Savage-guilford Road Jessup |
| State: | MD US |
| Postal Code: | 20794 |
| Phone Number: | 4108805920 |
| Fax Number: | |
| NPI Enumeration Date: | 07/24/2013 |
| NPI Last Update Date: | 07/24/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QS1000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Student Health |
| Taxonomy Definition: | |