Avery Road Combined Care

LBN: Maryland Treatment Centers, Inc.
Avery Road Combined Care is an health care organization with primary practice located at 14701 Avery Rd , Rockville MD 20853-3605. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Maryland Treatment Centers, Inc. can be contacted via phone (301) 279-8828, or through Roby, William J. via phone (410) 233-1400.

Contact Information

Primary practice address
14701 Avery Rd Rockville MD 20853-3605
Phone: (301) 279-8828
Fax: (301) 279-8910
Website:
Map and Directions
Authorized official contact:
Name: Roby, William J. MBA
Phone: (410) 233-1400

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X MH484 Maryland

Profile Details

NPI number 1356649057
LBN Legal business name Maryland Treatment Centers, Inc.
DBA Doing business as Avery Road Combined Care
Authorized official Roby, William J. MBA
Entity Organization
Organization subpart 1 No
Enumeration date Mar 3rd, 2011
Last updated Mar 3rd, 2011 - about 13 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 1356649057 NPPES
Maryland MEDICAID 090501105

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