Organization
RYAN REHABILITATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELANIE SUTHARD (BILLING MANAGER)
(301) 942-9773
Entity
Organization
Contact information
Practice address
19630 CLUB HOUSE RD STE 715, MONTGOMERY VILLAGE, MD 20886
(301) 258-7771
(301) 258-9078
Mailing address
19630 CLUB HOUSE RD STE 715, MONTGOMERY VILLAGE, MD 20886-3040
(301) 258-7771
(301) 257-9078
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
654084800
—
MD
Enumeration date
08/16/2018
Last updated
09/25/2024
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