Organization
MARYLAND TREATMENT CENTERS INC
Active
Other names
Mountain Manor Treatment Centers
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM J ROBY MBA (EXECUTIVE VICE PRESIDENT)
(301) 447-2361
Entity
Organization
Contact information
Practice address
9701 KEYSVILLE RD, EMMITSBURG, MD 21727-8619
(301) 447-2361
(301) 447-3715
Mailing address
9701 KEYSVILLE RD, EMMITSBURG, MD 21727-8619
(301) 447-2361
(301) 447-3715
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
903138
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
039135200
—
MD
Enumeration date
06/30/2008
Last updated
06/30/2008
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