Organization Name: | MARYLAND TREATMENT CENTERS, INC. |
NPI Number: | 1265730964 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WILLIAM J. ROBY (EXECUTIVE VICE PRESIDENT) |
Mailing Address: | 6655 Sykesville Rd Sykesville |
State: | MD US |
Postal Code: | 217847966 |
Phone Number: | 4108761989 |
Fax Number: | 4108761690 |
NPI Enumeration Date: | 03/03/2011 |
NPI Last Update Date: | 03/03/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0405X |
License Number: | 903968 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rehabilitation, Substance Use Disorder |
Taxonomy Definition: |