Organization
SHEPPARD PRATT HEALTH SYSTEM, INC.
Active
Other names
Berkeley & Eleanor Mann Residential Treatment Center
Organization subpart
No
Provider details
NPI number
Authorized official
SUE KESSLER (DIRECTOR, REVENUE CYCLE)
(410) 382-8111
Entity
Organization
Contact information
Practice address
6501 N CHARLES ST, BALTIMORE, MD 21204-6819
(410) 938-3000
(410) 938-3159
Mailing address
6501 N CHARLES ST, BALTIMORE, MD 21204-6819
(410) 938-3000
(410) 938-3159
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
754612200
—
MD
Enumeration date
10/18/2006
Last updated
03/27/2025
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