OrganizationActive
Rica-Baltimore
NPI 1063402121 · Emotionally Disturbed Childrens' Residential Treatment Facility · Baltimore, MD
Provider details
- NPI number
- 1063402121
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- Penny Makris, Ceo
- License
- 03-045 (MD)
Practice location
605 S Chapel Gate Ln
Baltimore, MD 21229-3906
Phone: (410) 368-7801
Fax: (410) 368-7886
Mailing address
605 S Chapel Gate Ln
Baltimore, MD 21229-3906
Registry dates
- Enumerated
- 2005-10-28
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.