| NPI | 1255424164 |
|---|---|
| Doing Business As | JEFFERSON RTC |
| Entity Type | Organization |
| Authorized Contact | BONNIE B. KATZ VP, Corporate Business Development 410-938-3154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: MD 10-018) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2009-01-16 |