NPI: 1821461310
Provider Name: MARYLAND TREATMENT CENTERS, INC
Doing Business As: AVERY HOUSE
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization
Specialization: Rehabilitation, Substance Use Disorder
CLIA Number: 21D2179917
Address:
14705 AVERY HOUSE
ROCKVILLE, MD
ZIP 20853
Phone: (301) 762-5613
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MARYLAND TREATMENT CENTERS, INC is a rehabilitation and substance use disorder clinic center in Rockville, MD. MARYLAND TREATMENT CENTERS, INC NPI is 1821461310. The provider is registered as an organization entity type.
The provider Is Doing Business As Avery House.
The provider's business location address is:
14705 AVERY HOUSE
ROCKVILLE, MD
ZIP 20853
Phone: (301) 762-5613
The provider's authorized official is Richard Sawyer .
The authorized official title is Director Of Contracts Management and has the following contact phone number (443) 904-0145.
The CLIA number assigned to this NPI record is 21D2179917 - other - substance abuse halfway h with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 11/5/2015 and was last updated on 11/5/2015.