New Dominion Maryland Residential Treatment Program

LBN: Three Springs, Inc.
New Dominion Maryland Residential Treatment Program is an health care organization with primary practice located at 20700 Wagoner Cutoff Road , Oldtown MD 21555. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, which is considered as the primary health care specialty. Three Springs, Inc. can be contacted via phone (301) 478-5721, or through Balch, Brooke E via phone (256) 880-3339.

Contact Information

Primary practice address
20700 Wagoner Cutoff Road Oldtown MD 21555
Phone: (301) 478-5721
Fax: (301) 478-5723
Website:
Map and Directions
Authorized official contact:
Name: Balch, Brooke E
Phone: (256) 880-3339

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X DJS LICENSE NO # Maryland

Profile Details

NPI number 1851480065
LBN Legal business name Three Springs, Inc.
DBA Doing business as New Dominion Maryland Residential Treatment Program
Authorized official Balch, Brooke E
Entity Organization
Organization subpart 1 No
Enumeration date Oct 12th, 2006
Last updated Feb 25th, 2010 - about 14 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 1851480065 NPPES
Maryland Other 05-PD-042 STATE DJS CONTRACT

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