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THREE SPRINGS INC. NPI 1851480065


NPI Information

NPI: 1851480065
Provider Name: THREE SPRINGS, INC.

Other Name: NEW DOMINION MARYLAND RESIDENTIAL TREATMENT PROGRAM

Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization
Address:
20700 WAGONER CUTOFF ROAD
OLDTOWN, MD
ZIP 21555
Phone: (301) 478-5721
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THREE SPRINGS, INC. is a residential treatment facility emotionally disturbed children in Oldtown, 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. THREE SPRINGS, INC. NPI is 1851480065. The provider is registered as an organization entity type.
The provider Other Name Is New Dominion Maryland Residential Treatment Program.

The provider's business location address is:

20700 WAGONER CUTOFF ROAD
OLDTOWN, MD
ZIP 21555
Phone: (301) 478-5721
Fax: (301) 478-5723

The provider's authorized official is Brooke E Balch .
The authorized official title is Cfo and has the following contact phone number (256) 880-3339.

The enumeration date for this NPI number is 10/12/2006 and was last updated on 2/25/2010.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenDJS LICENSE NO #MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
105-PD-042OTHERMARYLANDSTATE DJS CONTRACT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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