Organization
JOHN L. GILDNER REGIONAL INSTITUTE FOR CHILDREN AND ADOLESCENTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD AVERY KNIFFEN JR. MBA (DIRECTOR OF PERFORMANCE IMPROVEMENT)
(301) 251-6828
Entity
Organization
Contact information
Practice address
15000 BROSCHART RD, ROCKVILLE, MD 20850-3303
(301) 251-6800
(301) 309-9004
Mailing address
15000 BROSCHART RD, ROCKVILLE, MD 20850-3303
(301) 251-6800
(301) 309-9004
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
15-038
MD
Other
Enumeration date
08/18/2005
Last updated
08/22/2020
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