Organization
SHEPPARD PRATT HEALTH SYSTEM, INC.
Active
Other names
Forbush School at Westminster
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BONNIE B KATZ (VP CORPORATE BUSINESS DEVELOPMENT)
(410) 938-3150
Entity
Organization
Contact information
Practice address
1135 BUSINESS PKWY S, WESTMINSTER, MD 21157-3019
(410) 386-0460
(410) 386-0465
Mailing address
6501 N CHARLES ST, BALTIMORE, MD 21204-6819
(410) 938-3150
(410) 938-3159
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
3854
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3854
LICENSE
MD
Enumeration date
01/22/2007
Last updated
08/10/2009
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