THE HOUSE OF THE GOOD SHEPHERD OF THE CITY OF BALTIMORE NPI 1508980251

NPI Information

THE HOUSE OF THE GOOD SHEPHERD OF THE CITY OF BALTIMORE is a residential treatment facility emotionally disturbed children in Baltimore, MD. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. THE HOUSE OF THE GOOD SHEPHERD OF THE CITY OF BALTIMORE NPI is 1508980251. The provider is registered as an organization entity type.

The provider's business location address is:

4100 MAPLE AVENUE
BALTIMORE, MD
ZIP 21227-007
Phone: (410) 247-2770
Fax: (410) 247-3242

The provider's authorized official is Derrick A. Boone .
The authorized official title is President & Ceo and has the following contact phone number (410) 247-2770.

The enumeration date for this NPI number is 3/19/2007 and was last updated on 5/13/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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