OrganizationActive
Sheppard Pratt Health System, Inc
NPI 1255424164 · Emotionally Disturbed Childrens' Residential Treatment Facility · Jefferson, MD
Provider details
- NPI number
- 1255424164
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Bonnie Katz, Vp, Corporate Business Development(410) 938-3154
- License
- 10-018 (MD)
Specialties & taxonomies
Residential Treatment Facilities
Practice location
2940 Point of Rocks Rd.
Jefferson, MD 21755-0009
Phone: (301) 624-8400
Fax: (301) 624-8404
Approximate (ZIP-level) locationGet directions
Mailing address
6501 N Charles St
Baltimore, MD 21204-6819
Other names (DBA / former)
- Doing business as
- Jefferson Rtc
Registry dates
- Enumerated
- 2006-10-02
- Last updated
- 2009-01-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.