Organization Name: | MONTGOMERY COUNTY MARYLAND GOVERNMENT |
NPI Number: | 1760808513 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TIMOTHY FIRESTINE (CHIEF ADMINISTRATIVE OFFICER) |
Mailing Address: | 22880 Whelan Ln Boyds |
State: | MD US |
Postal Code: | 208419011 |
Phone Number: | 2407771671 |
Fax Number: | |
NPI Enumeration Date: | 03/17/2014 |
NPI Last Update Date: | 03/17/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0405X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rehabilitation, Substance Use Disorder |
Taxonomy Definition: |