Provider Demographics
NPI:1164547998
Name:THE BENEDICTINE SCHOOL FOR EXCEPTIONAL CHILDREN, INC
Entity Type:Organization
Organization Name:THE BENEDICTINE SCHOOL FOR EXCEPTIONAL CHILDREN, INC
Other - Org Name:BENEDICTINE PROGRAMS AND SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:MS
Authorized Official - First Name:LAURIE
Authorized Official - Middle Name:
Authorized Official - Last Name:GARDNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-634-2112
Mailing Address - Street 1:14299 BENEDICTINE LN
Mailing Address - Street 2:
Mailing Address - City:RIDGELY
Mailing Address - State:MD
Mailing Address - Zip Code:21660-1434
Mailing Address - Country:US
Mailing Address - Phone:410-634-2112
Mailing Address - Fax:410-634-1223
Practice Address - Street 1:14299 BENEDICTINE LN
Practice Address - Street 2:
Practice Address - City:RIDGELY
Practice Address - State:MD
Practice Address - Zip Code:21660-1434
Practice Address - Country:US
Practice Address - Phone:410-634-2112
Practice Address - Fax:410-634-1223
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility