Potomac Ridge Behavorial Health Eastern Shore in Cambridge - Residential Treatment Facility, Emotionally Disturbed Children
Potomac Ridge Behavorial Health Eastern Shore - NPI 1104952050
Potomac Ridge Behavorial Health Eastern Shore is a Residential Treatment Facility, Emotionally Disturbed Children in Cambridge, Maryland. Potomac Ridge Behavorial Health Eastern Shore practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. The NPI Number for Potomac Ridge Behavorial Health Eastern Shore is 1104952050. The last update date is 2008-06-23.
Potomac Ridge Behavorial 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 Behavorial Health Eastern Shore is 821 Fieldcrest Rd, Cambridge, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Potomac Ridge Behavorial Health Eastern Shore |
|---|---|
| Address | 821 Fieldcrest Rd, Cambridge, Maryland |
| Phone Number | 4102210288 |
| Fax Number | 4102289588 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SCHOOL SOC |
|---|---|
| Authorized Official Name | Witt F Carolyn |
| Credentials | LCSW-C |
| Telephone Number | 4102210288 |
NPI Number Detail
| NPI Number | 1104952050 |
|---|---|
| Provider Enumeration Date | 2007-02-26 |
| 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 | 10966 |
|
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 |
|---|---|---|---|
| 410978300 | MD | -- | |
| 410520600 | MD | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Potomac Ridge Behavorial Health Eastern Shore by the Centers for Medicare & Medicaid Services?
The Potomac Ridge Behavorial Health Eastern Shore has been assigned the NPI (National Provider Identifier) 1104952050 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Potomac Ridge Behavorial Health Eastern Shore's physical address?
The Potomac Ridge Behavorial Health Eastern Shore is physically located at 821 Fieldcrest Rd, in the city of Cambridge, MD, with the postal code 216139423.
What is the Potomac Ridge Behavorial Health Eastern Shore's area of specialization and corresponding taxonomy classification?
The Potomac Ridge Behavorial Health Eastern Shore's specialty field is Residential Treatment Facility, Emotionally Disturbed Children, and it falls under the taxonomy code 322D00000X, which categorizes healthcare providers based on their specialties.
On what date did the Potomac Ridge Behavorial Health Eastern Shore receive the assignment of its 1104952050 from the Centers for Medicare & Medicaid Services?
The Potomac Ridge Behavorial Health Eastern Shore was issued its 1104952050 by the Centers for Medicare & Medicaid Services on 2007-02-26.
As of what date was the information pertaining to Potomac Ridge Behavorial Health Eastern Shore, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Potomac Ridge Behavorial Health Eastern Shore, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-06-23.
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