Organization · Type 2 NPI
Sheppard Pratt Health System, Inc
Emotionally Disturbed Childrens' Residential Treatment Facility · Jefferson, MD
Practice location
2940 Point Of Rocks Rd.
Jefferson, MD 21755-0009
Fax (301) 624-8404
Mailing address
6501 N Charles St
Baltimore, MD 21204-6819
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility Primary | 322D00000X | 10-018 (MD) |
Emotionally Disturbed Childrens' Residential Treatment Facility: 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.
About NPI 1255424164
Sheppard Pratt Health System, Inc's National Provider Identifier is 1255424164, issued on Oct 2, 2006. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Jefferson, MD. The record was last updated on Jan 16, 2009.