Organization
MARYLAND TREATMENT CENTERS, INC.
Active
Parent organization
MARYLAND TREATMENT CENTERS, INC.
Other names
Avery Road Treatment Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARYLAND TREATMENT CENTERS, INC.
Authorized official
MS. SARAH D BOLEK (ASSOC DIR OF CONTRACTS)
(240) 401-3062
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
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
MD
101YM0800X
Mental Health Counselor
—
MD
101YP2500X
Professional Counselor
—
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)
20105
MD
261QM0850X
Adult Mental Health Clinic/Center
20105
MD
324500000X
Substance Abuse Rehabilitation Facility
Primary
903194
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
090501103
—
MD
05
—
264553000
—
MD
Enumeration date
08/19/2006
Last updated
10/24/2025
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