Organization
MARYLAND TREATMENT CENTERS, INC.
Active
Parent organization
MARYLAND TREATMENT CENTERS, INC.
Other names
Mountain Manor Treatment Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARYLAND TREATMENT CENTERS, INC.
Authorized official
SARAH BOLEK (CONTRACTS COORDINATOR)
(240) 401-3062
Entity
Organization
Contact information
Practice address
9701 KEYSVILLE RD, EMMITSBURG, MD 21727-8619
(301) 447-2360
(301) 447-3673
Mailing address
3800 FREDERICK AVE, BALTIMORE, MD 21229-3618
(410) 233-1400
(410) 233-1666
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
13953
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13953
LICENSE
MD
Enumeration date
05/12/2016
Last updated
05/12/2016
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