Organization
MARYLAND TREATMENT CENTERS, INC.
Active
Other names
Avery Road Treatment Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM J. ROBY MBA (EXECUTIVE VICE PRESIDENT)
(301) 447-2361
Entity
Organization
Contact information
Practice address
14703 AVERY RD, ROCKVILLE, MD 20853-3605
(301) 762-5613
(301) 762-3451
Mailing address
14703 AVERY RD, ROCKVILLE, MD 20853-3605
(301) 762-5613
(301) 762-3451
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
MD
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
090501103
—
MD
Enumeration date
05/27/2008
Last updated
05/27/2008
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