Potomac Ridge Behaviorial Health Eastern Shore

NPI 1053445247 - Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X

NPI Details
NPI 1053445247
Enumeration Date 03/16/2007
Last Updated 06/23/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name BARBARA BARBARA
Position SCHOOL SOCIAL WORKER
Phone (410) 221-0288
Fax (410) 228-9588
Practice Location
821 FIELDCREST RD
CAMBRIDGE MD, 21613-9423, US
Phone (410) 221-0288
Fax (410) 228-9588
Business Location
821 FIELDCREST RD
CAMBRIDGE MD, 21613-9423, US
Phone (410) 221-0288
Fax (410) 228-9588
Toxanomy
Taxonomy Code 322D00000X
License State Maryland
License Number 09485
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According to our database, Potomac Ridge Behaviorial Health Eastern Shore NPI is 1053445247, taxonomy code is 322D00000X and license number is 09485, license state is located at Maryland. Potomac Ridge Behaviorial Health Eastern Shore physically located at 821 Fieldcrest Rd, Cambridge MD, 21613-9423. NPI Number 1033115704 has the healthcare provider type.

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1053445247 NPI number is provided on an as is basis without warranty of any kind. 1053445247 is maintained by the National Plan & Provider Enumeration System. The contents of Potomac Ridge Behaviorial Health Eastern Shore are for informational purposes only.