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Organization

CHESAPEAKE YOUTH CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARY BLACKWELL (PATIENT ACCOUTS DIRECTOR)
(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
283Q00000X
Psychiatric Hospital
Primary
09011
MD
323P00000X
Psychiatric Residential Treatment Facility
09011
MD

Other

Enumeration date
06/01/2006
Last updated
09/11/2025
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