institution
Potomac Ridge- Eastern Shore
Emotionally Disturbed Childrens' Residential Treatment Facility in Cambridge, Maryland
NPI 1285765636

Potomac Ridge- Eastern Shore is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Cambridge, MD. Potomac Ridge- Eastern Shore practices in Cambridge, MD. The NPI Number for Potomac Ridge- Eastern Shore is 1285765636 and holds a License No. 5337 (Maryland).

The current practice location address for Potomac Ridge- Eastern Shore is 821 Fieldcrest Rd, Cambridge, MD and can be reached out via phone at 410-221-0288 and via fax at 410-221-9588.

Location: 821 Fieldcrest Rd, Cambridge, MD, 21613-9423
institution
Provider Profile Details
NPI Number
1285765636
Provider Name
Potomac Ridge- Eastern Shore
Credential
Provider Entity Type
Organization
Address
821 Fieldcrest Rd, Cambridge, MD, 21613-9423
Phone Number
410-221-0288
Fax Number
410-221-9588
Provider Enumeration Date
03/08/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
410520600 05 MD
410978300 05 MD
institution
Provider Business Practice Location Address Details
Address
821 Fieldcrest Rd
City
State
Zip
21613-9423
Phone Number
410-221-0288
Fax Number
410-221-9588
person
Provider Business Mailing Address Details
Address
821 Fieldcrest Rd
City
State
Zip
21613-9423
Phone Number
410-221-0288
Fax Number
410-221-9588
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
License No.
5337 (Maryland)
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
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