NPI 1568508927
Physician Group Wpcc
Practice location
- Address
- 630 W Fayette St, Baltimore, MD 21201-1543
- Phone
- (410) 209-6201
- Fax
- (410) 209-6209
Authorised official
- Name
- Archie T. Wallace
- Title
- Ceo
- Phone
- (410) 209-6201
Registered specialties
Psychiatric Hospital Unit
Primary
Registry record
- NPI
- 1568508927
- Entity type
- Organization
- NPI issued
- 30 Jan 2007
- Record last updated
- 22 Aug 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.