| Organization Name: | TRICO CLINICAL SERVICES LTD |
| NPI Number: | 1649612524 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | HELGA C HERTLEIN (ADMINISTRATIVE DIRECTOR) |
| Mailing Address: | 46940 S Shangri La Dr Suite 10 Lexington Park |
| State: | MD US |
| Postal Code: | 206531037 |
| Phone Number: | 3018624961 |
| Fax Number: | |
| NPI Enumeration Date: | 07/22/2013 |
| NPI Last Update Date: | 07/22/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 385HR2055X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Respite Care Facility |
| Taxonomy Classification: | Respite Care |
| Taxonomy Specialization: | Respite Care, Mental Illness, Child |
| Taxonomy Definition: | A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental illness, as respite for the regular caregivers. |