OrganizationActive
Potomac Ridge- Eastern Shore
NPI 1285765636 · Emotionally Disturbed Childrens' Residential Treatment Facility · Cambridge, MD
Provider details
- NPI number
- 1285765636
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Jane Gordon, Therapist(410) 221-0288
- License
- 5337 (MD)
Specialties & taxonomies
Residential Treatment Facilities
Practice location
821 Fieldcrest Rd
Cambridge, MD 21613-9423
Phone: (410) 221-0288
Fax: (410) 221-9588
Approximate (ZIP-level) locationGet directions
Mailing address
821 Fieldcrest Rd
Cambridge, MD 21613-9423
Registry dates
- Enumerated
- 2007-03-08
- Last updated
- 2008-08-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.