# RYAN REHABILITATION LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ryan Rehabilitation, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104391317
- **Authorized official:** MELANIE SUTHARD (BILLING MANAGER)
- **Authorized official phone:** (301) 942-9773

## Contact information

- **Practice address:** 7100 BALTIMORE AVE STE 105, COLLEGE PARK, MD 20740-3652
- **Practice address phone:** (301) 209-9200
- **Practice address fax:** (301) 209-9202
- **Mailing address:** 19630 CLUB HOUSE RD STE 715, MONTGOMERY VILLAGE, MD 20886-3040
- **Mailing address phone:** (301) 258-7771
- **Mailing address fax:** (301) 258-9078

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |

## Other

- **Enumeration date:** 10/04/2018
- **Last updated:** 09/25/2024