# REGIONAL INSTITUTE FOR CHILDREN AND ADOLESCENTS - SOUTHERN MARYLAND

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- **Entity:** Organization
- **Status:** Active
- **Other names:** RICA - Southern Maryland
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104805696
- **Authorized official:** MS. AUDREY BONITA CHASE LICSW (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (301) 372-1800

## Contact information

- **Practice address:** 9400 SURRATTS RD, CHELTENHAM, MD 20623-1324
- **Practice address phone:** (301) 372-1800
- **Practice address fax:** (301) 372-1906
- **Mailing address:** 9400 SURRATTS RD, CHELTENHAM, MD 20623-1324
- **Mailing address phone:** (301) 372-1800
- **Mailing address fax:** (301) 372-1906

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | MD | Yes |

## Other

- **Enumeration date:** 01/12/2006
- **Last updated:** 08/22/2020