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MARYLAND TREATMENT CENTERS INC. NPI 1437317559


NPI Information

NPI: 1437317559
Provider Name: MARYLAND TREATMENT CENTERS, INC.

Doing Business As: AVERY ROAD TREATMENT CENTER

Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
14703 AVERY RD
ROCKVILLE, MD
ZIP 20853
Phone: (301) 762-5613
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MARYLAND TREATMENT CENTERS, INC. is an adult mental health clinic center in Rockville, MD. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. MARYLAND TREATMENT CENTERS, INC. NPI is 1437317559. 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 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 5/27/2008 and was last updated on 5/27/2008.


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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)MARYLANDNo
2261QM0850XClinic/CenterAdult Mental HealthMARYLANDYes

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
1090501103MEDICAIDMARYLAND

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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