The House of the Good Shepherd of the City of Baltimore
The House of the Good Shepherd of the City of Baltimore is an Emotionally Disturbed Childrens' Residential Treatment Facility in Baltimore, Maryland. Licensed in Maryland. Registered with an NPI since 2007.
- Licensed in
- MD
- In the registry since
- 2007
Practice location Address checks out
4100 Maple AveBaltimore, MD 21227-4007
Phone: (410) 247-2770
Fax: (410) 247-3242
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Emotionally Disturbed Childrens' Residential Treatment Facility (primary) | Taxonomy 322D00000X · Licence 03-049 (MD) |
|---|
Record details
| NPI number | 1508980251 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Derrick Boone — President & Ceo · (410) 247-2770 |
| NPI enumerated | March 19, 2007 |
| Last updated in NPPES | May 13, 2009 |
| Mailing address | 4100 Maple Avenue, Baltimore, MD 21227-4007 |
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