Organization
MEADOW MOUNTAIN DRUG TREATMENT PROGRAM
Active
Organization
MEADOW MOUNTAIN DRUG TREATMENT PROGRAM
Active
Parent organization
MARYLAND DEPARTMENT OF JUVENILE SEVERVICE
Other names
Meadow Mountain Youth Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARYLAND DEPARTMENT OF JUVENILE SEVERVICE
Authorized official
MR. WILLIAM PICKREL (YOUTH CENTER ADMINISTRATOR)
(301) 895-5669
Entity
Organization
Contact information
Practice address
234 RECOVERY RD, GRANTSVILLE, MD 21536-2217
(301) 895-5669
(301) 895-3664
Mailing address
234 RECOVERY RD, GRANTSVILLE, MD 21536-2217
(301) 895-5669
(301) 895-3664
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
14905
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102113
SAMIS
MD
Enumeration date
09/24/2007
Last updated
09/24/2007
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