institution
Potomac Ridge Behaviorial Health Eastern Shore
Emotionally Disturbed Childrens' Residential Treatment Facility in Cambridge, Maryland
NPI 1942344783

Potomac Ridge Behaviorial Health Eastern Shore is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Cambridge, MD. Potomac Ridge Behaviorial Health Eastern Shore practices in Cambridge, MD. The NPI Number for Potomac Ridge Behaviorial Health Eastern Shore is 1942344783 and holds a License No. G12385 (Maryland).

The current practice location address for Potomac Ridge Behaviorial Health Eastern Shore is 821 Fieldcrest Rd, Cambridge, MD and can be reached out via phone at 410-221-0288 and via fax at 410-228-9588.

Location: 821 Fieldcrest Rd, Cambridge, MD, 21613-9423
institution
Provider Profile Details
NPI Number
1942344783
Provider Name
Potomac Ridge Behaviorial Health Eastern Shore
Credential
Provider Entity Type
Organization
Address
821 Fieldcrest Rd, Cambridge, MD, 21613-9423
Phone Number
410-221-0288
Fax Number
410-228-9588
Provider Enumeration Date
02/16/2007
Last Update Date
03/08/2024
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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
410-228-9588
person
Provider Business Mailing Address Details
Address
821 Fieldcrest Rd
City
State
Zip
21613-9423
Phone Number
410-221-0288
Fax Number
410-228-9588
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
License No.
G12385 (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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