# VINTAGE BEHAVIORAL HEALTHCARE CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366368169
- **Authorized official:** ELIJAH JONES OWNER (OWNER)
- **Authorized official phone:** (202) 843-3537

## Contact information

- **Practice address:** 4041 POWDER MILL RD STE 322B, BELTSVILLE, MD 20705-3106
- **Practice address phone:** (240) 388-9096
- **Mailing address:** 10310 SWIFT STREAM PL APT 109, COLUMBIA, MD 21044-4881

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0401X | Comprehensive Outpatient Rehabilitation Facility (CORF) | — | NULL | Yes |

## Other

- **Enumeration date:** 06/25/2026
- **Last updated:** 06/25/2026