Organization
POTOMAC HEALTHCARE FOUNDATION, LTD
Active
Other names
Safe Harbor at Mountain Manor
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
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
103TC0700X
Clinical Psychologist
—
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)
—
MD
261QM0850X
Adult Mental Health Clinic/Center
—
MD
324500000X
Substance Abuse Rehabilitation Facility
Primary
13332
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
342200300
—
MD
Enumeration date
05/27/2006
Last updated
03/15/2011
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