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Organization

MONTGOMERY COUNTY MARYLAND GOVERNMENT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DIANA AZUCENA CORTEZ (MANAGEMENT)
(240) 672-6758
Entity
Organization

Contact information

Practice address
1401 ROCKVILLE PIKE, ROCKVILLE, MD 20852-1428
(240) 777-4369
Mailing address
401 HUNGERFORD DR FL 6TH, ROCKVILLE, MD 20850-4154
(240) 777-4520

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
261QP0905X
State or Local Public Health Clinic/Center

Other

Enumeration date
04/08/2024
Last updated
09/18/2025
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