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MARYLAND TREATMENT CENTERS INC NPI 1902333024


NPI Information

NPI: 1902333024
Provider Name: MARYLAND TREATMENT CENTERS INC

Doing Business As: AVERY ROAD TREATMENT CENTER

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
14703 AVERY RD
ROCKVILLE, MD
ZIP 20853
Phone: (301) 762-5613
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MARYLAND TREATMENT CENTERS INC is a substance abuse rehabilitation facility in Rockville, MD. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. MARYLAND TREATMENT CENTERS INC NPI is 1902333024. The provider is registered as an organization entity type.
The provider Is Doing Business As Avery Road Treatment Center.

The provider's business location address is:

14703 AVERY RD
ROCKVILLE, MD
ZIP 20853-605
Phone: (301) 762-5613
Fax: (301) 762-3451

The provider's authorized official is Sarah Bolek .
The authorized official title is Contracts Coordinator and has the following contact phone number (240) 401-3062.

The enumeration date for this NPI number is 5/19/2017 and was last updated on 4/6/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1324500000XSubstance Abuse Rehabilitation FacilityYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1500231102MEDICAIDMARYLAND

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: 4/28/2024

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