Organization
POTOMAC RIDGE BEHAVORIAL HEALTH EASTERN SHORE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS CAROLYN F WITT LCSW-C (SCHOOL SOCIAL WORKER)
(410) 221-0288
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
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
10966
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
410520600
—
MD
05
—
410978300
—
MD
Enumeration date
02/26/2007
Last updated
06/23/2008
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