Regional Institute for Children and Adolescents - Southern Maryland
Organization Active NPI Emotionally Disturbed Childrens' Residential Treatment Facility · Cheltenham, MD
NPI 1104805696 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1104805696
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X
- Legal business name
- REGIONAL INSTITUTE FOR CHILDREN AND ADOLESCENTS - SOUTHERN MARYLAND
- Practice address
- 9400 Surratts Rd
Cheltenham, MD 20623-1324 - Phone
- (301) 372-1800
- Fax
- (301) 372-1906
- NPI assigned
- Jan 12, 2006
- Organization subpart
- No
Authorized official
- Name
- Ms. Audrey Bonita Chase, LICSW
- Title
- Chief Executive Officer
- Phone
- (301) 372-1800
Practitioners 1
National Provider Directory
Locations
9400 Surratts Rd
Cheltenham, MD 20623
Phone (301) 372-1800
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | MD | Yes |
Addresses
Primary practice location
9400 Surratts Rd
Cheltenham, MD 20623-1324
Mailing address
9400 Surratts Rd
Cheltenham, MD 20623-1324
Phone (301) 372-1800
Other names
- RICA - Southern Maryland
Other providers in Cheltenham, MD
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- Telina Endia Rosemond
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All providers in Cheltenham, MD · Emotionally Disturbed Childrens' Residential Treatment Facility in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.