NPI: 1013361062
Provider Name: MARYLAND TREATMENT CENTERS, INC.
Doing Business As: MOUNTAIN MANOR- COLUMBIA
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization
Specialization: Rehabilitation, Substance Use Disorder
CLIA Number: 21D0214612
Address:
8930 STANFORD BLVD
COLUMBIA, MD
ZIP 21045
Phone: (301) 762-5613
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MARYLAND TREATMENT CENTERS, INC. is a rehabilitation and substance use disorder clinic center in Columbia, MD. MARYLAND TREATMENT CENTERS, INC. NPI is 1013361062. The provider is registered as an organization entity type.
The provider Is Doing Business As Mountain Manor- Columbia.
The provider's business location address is:
8930 STANFORD BLVD
COLUMBIA, MD
ZIP 21045-805
Phone: (301) 762-5613
Fax: (301) 762-3451
The provider's authorized official is Meghan Westwood .
The authorized official title is Contracts Manager and has the following contact phone number (301) 762-5613.
The CLIA number assigned to this NPI record is 21D0214612 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 4/15/2016 and was last updated on 5/9/2016.