Organization
POTOMAC RIDGE BEHAVIOAL HEALTH ES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN MISTRANGELO (ADMINISTRATOR)
(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
281PC2000X
Children's Chronic Disease Hospital
Primary
09-001
MD
Other
Enumeration date
04/18/2007
Last updated
06/21/2018
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