Organization
POTOMAC RIDGE BEHAVIORAL HEALTH ES
Active
Other names
POTOMAC RIDGE BEHAVIORAL HEALTH SYSTEM
Organization subpart
No
Provider details
NPI number
Authorized official
WARREN KNIGHT (CFO)
(301) 217-5411
Entity
Organization
Contact information
Practice address
821 FIELDCREST RD, CAMBRIDGE, MD 21613-9423
(410) 221-0288
(410) 228-9588
Mailing address
821 FIELDCREST RD, CAMBRIDGE, MD 21613-9423
(410) 221-0288
(410) 228-9588
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
414476700
—
MD
Enumeration date
05/28/2008
Last updated
05/28/2008
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