NPI 1033101738

John L. Gildner Regional Institute for Children and Adolescents

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Rockville, MD

Practice location

Address: 15000 Broschart Rd, Rockville, MD 20850-3303
Phone: (301) 251-6800
Fax: (301) 309-9004

Authorised official

Name: Donald Avery Kniffen
Title: Director of Performance Improvement
Phone: (301) 251-6828

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence 15-038 (MD)

Other Residential Treatment Facility, Emotionally Disturbed Children providers in Maryland →

Registry record

NPI: 1033101738
Entity type: Organization
NPI issued: 18 Aug 2005
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.