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Organization
VINTAGE BEHAVIORAL HEALTHCARE CENTER LLC
Active
Organization
VINTAGE BEHAVIORAL HEALTHCARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIJAH JONES (CEO)
(240) 388-9096
Entity
Organization
Contact information
Practice address
4041 POWDER MILL RD STE 322B, BELTSVILLE, MD 20705-3106
(202) 843-3537
Mailing address
4041 POWDER MILL RD STE 322B, BELTSVILLE, MD 20705-3106
(202) 843-3537
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
NULL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
NULL
261QR0400X
Rehabilitation Clinic/Center
Primary
—
NULL
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
NULL
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
NULL
Other
Enumeration date
05/07/2025
Last updated
08/11/2026
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