Potomac Ridge Behaviorial Health System Eastern Shore in Cambridge - Residential Treatment Facility, Emotionally Disturbed Children
Potomac Ridge Behaviorial Health System Eastern Shore - NPI 1700920527
Potomac Ridge Behaviorial Health System Eastern Shore is a Residential Treatment Facility, Emotionally Disturbed Children in Cambridge, Maryland. Potomac Ridge Behaviorial Health System 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 System Eastern Shore is 1700920527. The last update date is 2008-06-23.
Potomac Ridge Behaviorial Health System 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 System 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 System Eastern Shore |
|---|---|
| Address | 821 Fieldcrest Rd, Cambridge, Maryland |
| Phone Number | 4102210288 |
| Fax Number | 4102289588 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CLINICAL D |
|---|---|
| Authorized Official Name | Schnatterly Kishen Aarti |
| Credentials | LCSW-C |
| Telephone Number | 4102210288 |
NPI Number Detail
| NPI Number | 1700920527 |
|---|---|
| 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 | 10586 |
|
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. |
|
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 assigned to Potomac Ridge Behaviorial Health System Eastern Shore by the Centers for Medicare & Medicaid Services?
The Potomac Ridge Behaviorial Health System Eastern Shore has been issued the NPI (National Provider Identifier) 1700920527 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Potomac Ridge Behaviorial Health System Eastern Shore's facilities are geographically located?
The facilities of Potomac Ridge Behaviorial Health System Eastern Shore are physically situated at the following location: 821 Fieldcrest Rd, Cambridge, MD, 216139423.
What is Potomac Ridge Behaviorial Health System Eastern Shore's specialized field of practice, and what is the corresponding taxonomy classification code?
The Potomac Ridge Behaviorial Health System Eastern Shore's area of specialization is Residential Treatment Facility, Emotionally Disturbed Children, and the corresponding taxonomy code that categorizes this field of practice is 322D00000X.
When did Potomac Ridge Behaviorial Health System Eastern Shore receive its 1700920527 assignment?
The Potomac Ridge Behaviorial Health System Eastern Shore was assigned its 1700920527 on 2007-02-16, which is the date when this unique identifier was issued to the organization.
When was the information regarding Potomac Ridge Behaviorial Health System Eastern Shore, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Potomac Ridge Behaviorial Health System Eastern Shore, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-06-23.
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