NPI 1255424164

Sheppard Pratt Health System, INC

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Jefferson, MD

Practice location

Address: 2940 Point of Rocks Rd., Jefferson, MD 21755-0009
Phone: (301) 624-8400
Fax: (301) 624-8404
Mailing address: 6501 N Charles St, Baltimore, MD 21204-6819

Authorised official

Name: Bonnie B. Katz
Title: Vp, Corporate Business Development
Phone: (410) 938-3154

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence 10-018 (MD)

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

Registry record

NPI: 1255424164
Entity type: Organization
NPI issued: 2 Oct 2006
Record last updated: 16 Jan 2009

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.