Organization
MONTGOMERY COUNTY MARYLAND GOVERNMENT
Active
Parent organization
MONTGOMERY COUNTY MARYLAND GOVERNMENT
Other names
Outpatient Addictions Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
MONTGOMERY COUNTY MARYLAND GOVERNMENT
Authorized official
MRS. JAMEELAH JOHNSON (MANAGER)
(240) 733-1211
Entity
Organization
Contact information
Practice address
981 ROLLINS AVE, ROCKVILLE, MD 20852-5615
(240) 777-1444
Mailing address
401 HUNGERFORD DR FL 6, ROCKVILLE, MD 20850-4154
(240) 777-4520
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420867600
—
MD
05
—
704211600
—
MD
Enumeration date
03/30/2007
Last updated
05/10/2024
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