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MARYLAND TREATMENT CENTERS INC. NPI 1154626752


NPI Information

NPI: 1154626752
Provider Name: MARYLAND TREATMENT CENTERS, INC.

Doing Business As: MOUNTAIN MANOR ADULT OUTPATIENT

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

Specialization: Rehabilitation, Substance Use Disorder

Address:
1107 NORTH POINT BLVD STE 205
BALTIMORE, MD
ZIP 21224
Phone: (410) 276-0153
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MARYLAND TREATMENT CENTERS, INC. is a rehabilitation and substance use disorder clinic center in Baltimore, MD. MARYLAND TREATMENT CENTERS, INC. NPI is 1154626752. The provider is registered as an organization entity type.
The provider Is Doing Business As Mountain Manor Adult Outpatient.

The provider's business location address is:

1107 NORTH POINT BLVD STE 205
BALTIMORE, MD
ZIP 21224-401
Phone: (410) 276-0153
Fax: (410) 732-0362

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 1/13/2011 and was last updated on 9/7/2022.


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
1261QR0405XClinic/CenterRehabilitation, Substance Use Disorder903870MARYLANDYes

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
1PENDINGMEDICAIDMARYLAND

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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