NPI 1508980251

The House of the Good Shepherd of the City of Baltimore

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Baltimore, MD

Practice location

Address: 4100 Maple Avenue, Baltimore, MD 21227-4007
Phone: (410) 247-2770
Fax: (410) 247-3242

Authorised official

Name: Derrick A. Boone
Title: President & Ceo
Phone: (410) 247-2770

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence 03-049 (MD)

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

Registry record

NPI: 1508980251
Entity type: Organization
NPI issued: 19 Mar 2007
Record last updated: 13 May 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.