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Organization
SHEPPARD PRATT HEALTH SYSTEM, INC
Active
Organization
SHEPPARD PRATT HEALTH SYSTEM, INC
Active
Other names
Jefferson RTC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BONNIE B. KATZ (VP, CORPORATE BUSINESS DEVELOPMENT)
(410) 938-3154
Entity
Organization
Contact information
Practice address
2940 POINT OF ROCKS RD., JEFFERSON, MD 21755-0009
(301) 624-8400
(301) 624-8404
Mailing address
6501 N CHARLES ST, BALTIMORE, MD 21204-6819
(410) 938-3000
(410) 938-3159
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
10-018
MD
Other
Enumeration date
10/02/2006
Last updated
01/16/2009
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