NPI | 1548251374 |
---|---|
Other Name | STATE OF MARYLAND -POTOMAC CENTER |
Entity Type | Organization |
Authorized Contact | STEVEN J SMITH Director 240-313-3550 |
Organization Subpart ? | No |
Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: MD 21-018) |
Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2005-11-01 |
Last Update Date | 2023-07-15 |