OrganizationActive
The House of the Good Shepherd of the City of Baltimore
NPI 1508980251 · Emotionally Disturbed Childrens' Residential Treatment Facility · Baltimore, MD
Provider details
- NPI number
- 1508980251
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- Derrick Boone, President & Ceo
- License
- 03-049 (MD)
Practice location
4100 Maple Avenue
Baltimore, MD 21227-4007
Phone: (410) 247-2770
Fax: (410) 247-3242
Mailing address
4100 Maple Avenue
Baltimore, MD 21227-4007
Registry dates
- Enumerated
- 2007-03-19
- Last updated
- 2009-05-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.