| 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 |