Organization
MARYLAND TREATMENT CENTERS, INC.
Active
Other names
Journeys Adolescent Treatment Program
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BARBARA GROVES MED (EXECUTIVE VICE PRESIDENT)
(410) 233-1400
Entity
Organization
Contact information
Practice address
402-404 HUNGERFORD DRIVE, ROCKVILLE, MD 20850-4119
(301) 294-4015
(301) 294-4017
Mailing address
402-404 HUNGERFORD DRIVE, ROCKVILLE, MD 20850-4119
(301) 294-4015
(301) 294-4017
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)
Primary
20108
MD
261QM0850X
Adult Mental Health Clinic/Center
14081
MD
261QM0855X
Adolescent and Children Mental Health Clinic/Center
14081
MD
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
15147
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
090501102
—
MD
05
—
391090300
—
MD
05
—
401295000
—
MD
Enumeration date
08/19/2006
Last updated
06/19/2008
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