CONCERTED CARE GROUP FREDERICK LLC NPI 1780107631

NPI Information

NPI: 1780107631
Provider Name: CONCERTED CARE GROUP FREDERICK LLC
Classification: Clinic/Center - 261QR0405X
Specialization: Rehabilitation, Substance Use Disorder
Entity Type: Organization
Address: 92 THOMAS JOHNSON DR STE 100
FREDERICK, MD
ZIP 21702
Phone: (240) 815-7300

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NPI Details

CONCERTED CARE GROUP FREDERICK LLC is a rehabilitation and substance use disorder clinic center in Frederick, MD. CONCERTED CARE GROUP FREDERICK LLC NPI is 1780107631. The provider is registered as an organization entity type.

The provider's business location address is:

92 THOMAS JOHNSON DR STE 100
FREDERICK, MD
ZIP 21702-591
Phone: (240) 815-7300
Fax: (301) 500-2223

The provider's authorized official is Keonna Armstrong .
The authorized official title is Vp Of Revenue Cycle Management and has the following contact phone number (240) 813-9867.

The enumeration date for this NPI number is 7/24/2017 and was last updated on 1/22/2025.

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
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			Yes

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
1	102053	OTHER	MARYLAND	DHMH OHCQ

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: 11/21/2025

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