Main Place Addiction Treatment Center Llc.

LBN: Main Place Addiction Treatment Center Llc.
Main Place Addiction Treatment Center Llc. is an health care organization with primary practice located at 915 Toll House Ave , Frederick MD 21701-5930. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, which is considered as the primary health care specialty. Main Place Addiction Treatment Center Llc. can be contacted via phone (240) 575-1324, or through Geyer, Amanda Marie via phone (240) 575-1324.

Contact Information

Primary practice address
915 Toll House Ave Frederick MD 21701-5930
Phone: (240) 575-1324
Fax: (301) 682-2053
Website:
Map and Directions
Authorized official contact:
Name: Geyer, Amanda Marie
Phone: (240) 575-1324

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X Maryland

Profile Details

NPI number 1619385630
LBN Legal business name Main Place Addiction Treatment Center Llc.
DBA Doing business as
Authorized official Geyer, Amanda Marie
Entity Organization
Organization subpart 1 No
Enumeration date Jul 23rd, 2014
Last updated Oct 18th, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619385630 NPPES
Maryland MEDICAID 319411600

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