Organization
MONTGOMERY COUNTY MARYLAND GOVERNMENT
Active
Parent organization
MONTGOMERY COUNTY MARYLAND GOVERNMENT
Other names
Outpatient Addictions Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
MONTGOMERY COUNTY MARYLAND GOVERNMENT
Authorized official
DIANA CORTEZ REVENUE CYCLE (MANAGER)
(240) 672-5867
Entity
Organization
Contact information
Practice address
1500 E GUDE DR, ROCKVILLE, MD 20850-5307
(301) 251-4580
Mailing address
101 MONROE ST, ROCKVILLE, MD 20850-2503
(240) 777-2500
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420867600
—
MD
Enumeration date
12/07/2011
Last updated
12/26/2025
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