NPI 1285765636

Potomac Ridge- Eastern Shore

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Cambridge, MD

Practice location

Address: 821 Fieldcrest Rd, Cambridge, MD 21613-9423
Phone: (410) 221-0288
Fax: (410) 221-9588

Authorised official

Name: Jane P Gordon
Title: Therapist
Phone: (410) 221-0288

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence 5337 (MD)

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

Registry record

NPI: 1285765636
Entity type: Organization
NPI issued: 8 Mar 2007
Record last updated: 14 Aug 2008

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.