Organization · Type 2 NPI

Ruth A. Goldbloom, P.a.

Adolescent and Children Mental Health Clinic/Center · Grantsville, MD

NPI number 1275713356 Active

Practice location

12590 National Pike, Suite 2
Grantsville, MD 21536-3310

Fax (301) 895-3399

Specialties and licenses

TaxonomyCodeLicense
Adult Mental Health Clinic/Center 261QM0850XNone listed
Adolescent and Children Mental Health Clinic/Center Primary 261QM0855XNone listed

Adolescent and Children Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

About NPI 1275713356

Ruth A. Goldbloom, P.a.'s National Provider Identifier is 1275713356, issued on Nov 6, 2007. The primary taxonomy on file is Adolescent and Children Mental Health Clinic/Center (261QM0855X), and the practice location is in Grantsville, MD. The record was last updated on Nov 6, 2007.