# POTOMAC RIDGE BEHAVIORIAL HEALTH EASTERN SHORE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942344783
- **Authorized official:** MISS CHRISTINA MICHELLE PIZZAIA LGSW (THERAPIST)
- **Authorized official phone:** (410) 221-0288

## Contact information

- **Practice address:** 821 FIELDCREST RD, CAMBRIDGE, MD 21613-9423
- **Practice address phone:** (410) 221-0288
- **Practice address fax:** (410) 228-9588
- **Mailing address:** 821 FIELDCREST RD, CAMBRIDGE, MD 21613-9423
- **Mailing address phone:** (410) 221-0288
- **Mailing address fax:** (410) 228-9588

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | G12385 | MD | Yes |

## Other

- **Enumeration date:** 02/16/2007
- **Last updated:** 06/23/2008