Organization
MARYLAND TREATMENT CENTERS, INC.
Active
Other names
Mountain Manor Treatment Center-Emmitsburg
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SARAH D BOLEK (ASSOC DIR OF CONTRACTS)
(240) 401-3062
Entity
Organization
Contact information
Practice address
9701 KEYSVILLE RD, EMMITSBURG, MD 21727-8619
(301) 447-2361
(301) 447-3673
Mailing address
9701 KEYSVILLE RD, EMMITSBURG, MD 21727-8619
(301) 447-2361
(301) 447-3673
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
MD
101YM0800X
Mental Health Counselor
—
MD
101YP2500X
Professional Counselor
—
MD
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
MD
103TC0700X
Clinical Psychologist
—
MD
1041C0700X
Clinical Social Worker
—
MD
106H00000X
Marriage & Family Therapist
—
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)
—
MD
261QM0850X
Adult Mental Health Clinic/Center
—
MD
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
903838
MD
324500000X
Substance Abuse Rehabilitation Facility
Primary
903838
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
039135200
—
MD
05
—
775700000
—
MO
05
—
775700001
—
MD
Enumeration date
05/28/2006
Last updated
10/24/2025
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