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Organization
SHEPPARD PRATT HEALTH SYSTEM, INC.
Active
Organization
SHEPPARD PRATT HEALTH SYSTEM, INC.
Active
Other names
Hannah More School
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BONNIE B. KATZ (VP BUSINESS DEV AND SUPPORT OPS)
(410) 938-3154
Entity
Organization
Contact information
Practice address
12039 REISTERSTOWN RD, REISTERSTOWN, MD 21136-3042
(410) 526-5000
(410) 526-7631
Mailing address
12039 REISTERSTOWN RD, REISTERSTOWN, MD 21136-3042
(410) 526-5000
(410) 526-7631
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4213556
—
MD
Enumeration date
10/05/2012
Last updated
10/31/2012
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