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Organization
SHEPPARD PRATT HEALTH SYSTEM, INC.
Active
Organization
SHEPPARD PRATT HEALTH SYSTEM, INC.
Active
Other names
Forbush School at Anne Arundel
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BONNIE B. KATZ (VP, BUS DEVELOPMENT & SUPPORT OPS)
(410) 938-3150
Entity
Organization
Contact information
Practice address
648 OLD MILL RD, MILLERSVILLE, MD 21108-1373
(410) 729-9181
(410) 729-3159
Mailing address
6501 N CHARLES ST, BALTIMORE, MD 21204-6819
(410) 938-3000
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
LETTER
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LETTER OF LICENSE
MD SPECIAL EDUCATION LICENSE
MD
Enumeration date
10/19/2009
Last updated
10/19/2009
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