Organization
REGIONAL INSTITUTE FOR CHILDREN AND ADOLESCENTS - SOUTHERN MARYLAND
Active
Other names
RICA - Southern Maryland
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AUDREY BONITA CHASE LICSW (CHIEF EXECUTIVE OFFICER)
(301) 372-1800
Entity
Organization
Contact information
Practice address
9400 SURRATTS RD, CHELTENHAM, MD 20623-1324
(301) 372-1800
(301) 372-1906
Mailing address
9400 SURRATTS RD, CHELTENHAM, MD 20623-1324
(301) 372-1800
(301) 372-1906
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
MD
Other
Enumeration date
01/12/2006
Last updated
08/22/2020
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