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Organization
MARYLAND TREATMENT CENTERS, INC.
Active
Organization
MARYLAND TREATMENT CENTERS, INC.
Active
Other names
Journeys Adolescent Treatment Program
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BARBARA GROVES MED (EXECUTIVE VICE PRESIDENT)
(410) 233-1400
Entity
Organization
Contact information
Practice address
402-404 HUNGERFORD DRIVE, ROCKVILLE, MD 20850-4119
(301) 294-4015
(301) 294-4017
Mailing address
402-404 HUNGERFORD DRIVE, ROCKVILLE, MD 20850-4119
(301) 294-4015
(301) 294-4017
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
MD
101YM0800X
Mental Health Counselor
—
MD
101YP2500X
Professional Counselor
—
MD
1041C0700X
Clinical Social Worker
—
MD
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
MD
2084P0800X
Psychiatry Physician
—
MD
2084P0802X
Addiction Psychiatry Physician
—
MD
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
20108
MD
261QM0850X
Adult Mental Health Clinic/Center
14081
MD
261QM0855X
Adolescent and Children Mental Health Clinic/Center
14081
MD
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
15147
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
090501102
—
MD
05
—
391090300
—
MD
05
—
401295000
—
MD
Enumeration date
08/19/2006
Last updated
06/19/2008
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