Organization
THREE SPRINGS, INC.
Active
Other names
New Dominion Maryland Residential Treatment Program
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BROOKE E BALCH (CFO)
(256) 880-3339
Entity
Organization
Contact information
Practice address
20700 WAGONER CUTOFF ROAD, OLDTOWN, MD 21555
(301) 478-5721
(301) 478-5723
Mailing address
PO BOX 8, OLDTOWN, MD 21555-0008
(301) 478-5721
(301) 478-5723
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
DJS LICENSE NO #
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05-PD-042
STATE DJS CONTRACT
MD
Enumeration date
10/12/2006
Last updated
02/25/2010
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