THE HOUSE OF THE GOOD SHEPHERD OF THE CITY OF BALTIMORE
Residential Treatment Facilities at Maple Ave, Baltimore, MD

License number
Maryland 03-049
Category
Residential Treatment Facilities
Type
Residential Treatment Facility, Emotionally Disturbed Children
Owner
Name: DERRICK A. BOONE PSY.D.
Title: PRESIDENT & CEO
Phone: (410) 247-2770
Address
Address
4100 Maple Ave, Baltimore, MD 21227
National Provider ID: 1508980251
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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House of The Good Shepherd of The City of Baltimore

4100 Maple Ave, Baltimore, MD 21227

Industry:
Residential Care Services
Phone:
(410) 247-2770 (Phone), (410) 247-3242 (Fax)
Nursing Directors:
Derrick Boone (Administration, Chief Executive Officer),Shant Powell (Medical Director),Jan Jones (Hris Coordinator),...
SIC6:
836100 - Residential care service
Company size:
300

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