NPI 1063402121

Rica-Baltimore

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Baltimore, MD

Practice location

Address: 605 S Chapel Gate Ln, Baltimore, MD 21229-3906
Phone: (410) 368-7801
Fax: (410) 368-7886

Authorised official

Name: Penny Makris
Title: Ceo
Phone: (410) 368-7801

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence 03-045 (MD)

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

Registry record

NPI: 1063402121
Entity type: Organization
NPI issued: 28 Oct 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.