POTOMAC RIDGE BEHAVORIAL HEALTH EASTERN SHORE
NPI 1104952050
Residential Treatment Facility, Emotionally Disturbed Children in Cambridge, MD

Q: What is Potomac Ridge Behavorial Health Eastern Shore's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

Active since February 26, 2007

821 FIELDCREST RD, CAMBRIDGE, MD 21613(410) 221-0288(410) 228-9588 Get Directions Write a Review

NPPES record last updated: June 23, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Potomac Ridge Behavorial Health Eastern Shore NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

POTOMAC RIDGE BEHAVORIAL HEALTH EASTERN SHORE (NPI 1104952050) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Cambridge, Maryland and active in the NPI registry since February 2007. The organization lists Carolyn F Witt, School Social Worker, as its authorized official.

NPPES Registry Identity

NPI1104952050

Entity TypeOrganization

Primary Taxonomy322D00000X

Legal Business NamePOTOMAC RIDGE BEHAVORIAL HEALTH EASTERN SHORE

Location Address821 FIELDCREST RDCambridge, MD 21613-9423

Mailing Address821 Fieldcrest RdCambridge, MD 21613-9423 · (410) 221-0288 · Fax (410) 228-9588

Phone(410) 221-0288

Fax(410) 228-9588

Organization SubpartNo

Authorized OfficialCarolyn F WittSchool Social Worker · (410) 221-0288

Enumeration DateFebruary 26, 2007

Last NPPES UpdateJune 23, 2008

✔ NPI 1104952050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities

Taxonomy Code322D00000X

License✔ Licensed in MD · 10966

Definition

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.

821 FIELDCREST RD, Cambridge, MD 21613

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Other Identifiers 2

Medicaid410520600MD

Medicaid410978300MD

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

POTOMAC RIDGE BEHAVIORAL HEALTH ES

Psychiatric Hospital