Organization
THE BENEDICTINE SCHOOL FOR EXCEPTIONAL CHILREN, INC.
Active
Other names
Benedictine Program and Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMMIE CORNISH (ASSISTANT CONTROLLER)
(410) 634-2112
Entity
Organization
Contact information
Practice address
14299 BENEDICTINE LN, RIDGELY, MD 21660-1434
(410) 634-2112
(410) 634-1223
Mailing address
14299 BENEDICTINE LN, RIDGELY, MD 21660-1434
(410) 634-2112
(410) 634-1223
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
541778300
—
MD
Enumeration date
02/20/2007
Last updated
04/15/2014
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