Potomac Ridge Behaviorial Health Eastern Shore in Cambridge - Residential Treatment Facility, Emotionally Disturbed Children
Potomac Ridge Behaviorial Health Eastern Shore - NPI 1942344783
Potomac Ridge Behaviorial Health Eastern Shore is a Residential Treatment Facility, Emotionally Disturbed Children in Cambridge, Maryland. Potomac Ridge Behaviorial Health Eastern Shore practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. The NPI Number for Potomac Ridge Behaviorial Health Eastern Shore is 1942344783. The last update date is 2008-06-23.
Potomac Ridge Behaviorial Health Eastern Shore's current location address is 821 Fieldcrest Rd, Cambridge, Maryland. You can contact this provider via phone number 4102210288 and fax number 4102289588. The mailing address for Potomac Ridge Behaviorial Health Eastern Shore is 821 Fieldcrest Rd, Cambridge, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Potomac Ridge Behaviorial Health Eastern Shore |
|---|---|
| Address | 821 Fieldcrest Rd, Cambridge, Maryland |
| Phone Number | 4102210288 |
| Fax Number | 4102289588 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | THERAPIST |
|---|---|
| Authorized Official Name | Pizzaia Michelle Christina |
| Credentials | LGSW |
| Telephone Number | 4102210288 |
NPI Number Detail
| NPI Number | 1942344783 |
|---|---|
| Provider Enumeration Date | 2007-02-16 |
| Last Updated Date | 2008-06-23 |
Provider Mailing Address Detail
| Address | 821 Fieldcrest Rd |
|---|---|
| City | Cambridge |
| State | Maryland (MD) |
| Post Code | 216139423 |
| Phone Number | 4102210288 |
| Fax Number | 4102289588 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
|---|---|
| Taxonomy | 322D00000X |
| Licence No | G12385 |
|
Definition: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 410520600 | MD | -- | |
| 410978300 | MD | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Potomac Ridge Behaviorial Health Eastern Shore by the Centers for Medicare & Medicaid Services?
The Potomac Ridge Behaviorial Health Eastern Shore has been assigned the NPI (National Provider Identifier) 1942344783 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Potomac Ridge Behaviorial Health Eastern Shore is geographically located?
The Potomac Ridge Behaviorial Health Eastern Shore is physically situated at the following location: 821 Fieldcrest Rd, Cambridge, MD, 216139423.
What is the area of specialization for Potomac Ridge Behaviorial Health Eastern Shore, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Potomac Ridge Behaviorial Health Eastern Shore is Residential Treatment Facility, Emotionally Disturbed Children, and the corresponding taxonomy code that categorizes this area of expertise is 322D00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1942344783 to Potomac Ridge Behaviorial Health Eastern Shore?
The Potomac Ridge Behaviorial Health Eastern Shore received its 1942344783 assignment from the Centers for Medicare & Medicaid Services on 2007-02-16.
As of what date were the Potomac Ridge Behaviorial Health Eastern Shore's details last updated?
The information pertaining to the Potomac Ridge Behaviorial Health Eastern Shore, including its address, specialty, and other details, was most recently updated on 2008-06-23.