Safe Harbor At Mountain Manor

LBN: Potomac Healthcare Foundation, Ltd
Safe Harbor At Mountain Manor is an health care organization with primary practice located at 9701 Keysville Rd , Emmitsburg MD 21727-8619. The organization recently has 10 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Addiction Psychiatry, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Residential Treatment Facilities / Substance Abuse Rehabilitation Facility is the primary health care specialty. Potomac Healthcare Foundation, Ltd can be contacted via phone (301) 447-2361, or through Roby, William J via phone (301) 447-2361.

Contact Information

Primary practice address
9701 Keysville Rd Emmitsburg MD 21727-8619
Phone: (301) 447-2361
Fax: (301) 447-3673
Website:
Map and Directions
Authorized official contact:
Name: Roby, William J MBA
Phone: (301) 447-2361

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X Maryland
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Maryland
Behavioral Health & Social Service Providers / Professional 101YP2500X Maryland
Behavioral Health & Social Service Providers / Clinical 103TC0700X Maryland
Behavioral Health & Social Service Providers / Clinical 1041C0700X Maryland
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X Maryland
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X Maryland
Allopathic & Osteopathic Physicians / Addiction Psychiatry 2084P0802X Maryland
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X Maryland
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X Maryland
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X 13332 Maryland

Profile Details

NPI number 1558318329
LBN Legal business name Potomac Healthcare Foundation, Ltd
DBA Doing business as Safe Harbor At Mountain Manor
Authorized official Roby, William J MBA
Entity Organization
Organization subpart 1 No
Enumeration date May 27th, 2006
Last updated Mar 15th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558318329 NPPES
Maryland MEDICAID 342200300

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