Mountain Manor Adult Outpatient
LBN: Maryland Treatment Centers, Inc.
Mountain Manor Adult Outpatient is an health care organization with primary practice located at 3243 Eastern Ave , Baltimore MD 21224-4013. The organization recently has 7 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Addiction Psychiatry, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder is the primary health care specialty.
Maryland Treatment Centers, Inc. can be contacted via phone (410) 276-0153, or through Roby, William J via phone (301) 447-2361.
Contact Information
Primary practice address
3243 Eastern Ave
Baltimore MD 21224-4013
Phone: (410) 276-0153
Fax: (410) 732-0362
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ||
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ||
| Allopathic & Osteopathic Physicians / Addiction Medicine | 2084A0401X | ||
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | ||
| Allopathic & Osteopathic Physicians / Addiction Psychiatry | 2084P0802X | ||
| Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder | 261QR0405X | 903870 | Maryland |
Profile Details
| NPI number | 1245534676 |
|---|---|
| LBN Legal business name | Maryland Treatment Centers, Inc. |
| DBA Doing business as | Mountain Manor Adult Outpatient |
| Authorized official | Roby, William J MBA |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 28th, 2010 |
| Last updated | Dec 28th, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245534676 | NPPES |
| Maryland | MEDICAID | PENDING |
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