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MARYLAND TREATMENT CENTERS INC. NPI 1417038357


NPI Information

NPI: 1417038357
Provider Name: MARYLAND TREATMENT CENTERS, INC.

Doing Business As: MOUNTAIN MANOR TREATMENT CENTER

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
250 ENGLAR RD
CARROLL PLAZA SHOPPING CENTER, SUITE 20
WESTMINSTER, MD
ZIP 21157
Phone: (410) 876-2425
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MARYLAND TREATMENT CENTERS, INC. is a rehabilitation and substance use disorder clinic center in Westminster, MD. MARYLAND TREATMENT CENTERS, INC. NPI is 1417038357. The provider is registered as an organization entity type.
The provider Is Doing Business As Mountain Manor Treatment Center.

The provider's business location address is:

250 ENGLAR RD
CARROLL PLAZA SHOPPING CENTER, SUITE 20
WESTMINSTER, MD
ZIP 21157-929
Phone: (410) 876-2425
Fax: (410) 840-9388

The provider's authorized official is William J Roby .
The authorized official title is Executive Vice President and has the following contact phone number (301) 447-2361.

The enumeration date for this NPI number is 10/18/2006 and was last updated on 12/30/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0405XClinic/CenterRehabilitation, Substance Use Disorder903866MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1510126301MEDICAIDMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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