Organization · Type 2 NPI

Potomac Ridge- Eastern Shore

Emotionally Disturbed Childrens' Residential Treatment Facility · Cambridge, MD

NPI number 1285765636 Active

Practice location

821 Fieldcrest Rd
Cambridge, MD 21613-9423

Fax (410) 221-9588

Specialties and licenses

TaxonomyCodeLicense
Emotionally Disturbed Childrens' Residential Treatment Facility Primary 322D00000X5337 (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.

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About NPI 1285765636

Potomac Ridge- Eastern Shore's National Provider Identifier is 1285765636, issued on Mar 8, 2007. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Cambridge, MD. The record was last updated on Aug 14, 2008.