Organization
THE HOUSE OF THE GOOD SHEPHERD OF THE CITY OF BALTIMORE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DERRICK A. BOONE PSY.D. (PRESIDENT & CEO)
(410) 247-2770
Entity
Organization
Contact information
Practice address
4100 MAPLE AVENUE, BALTIMORE, MD 21227-4007
(410) 247-2770
(410) 247-3242
Mailing address
4100 MAPLE AVENUE, BALTIMORE, MD 21227-4007
(410) 247-2770
(410) 247-3242
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
03-049
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
427825900
—
MD
Enumeration date
03/19/2007
Last updated
05/13/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us