Avery Road Treatment Center

LBN: Maryland Treatment Centers, Inc.
Avery Road Treatment Center is an health care organization with primary practice located at 14703 Avery Rd , Rockville MD 20853-3605. The organization recently has 10 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, 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 / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Residential Treatment Facilities / Substance Abuse Rehabilitation Facility is the primary health care specialty. Maryland Treatment Centers, Inc. can be contacted via phone (301) 762-5613, or through Roby, William J. via phone (301) 447-2361.

Contact Information

Primary practice address
14703 Avery Rd Rockville MD 20853-3605
Phone: (301) 762-5613
Fax: (301) 762-3451
Website:
Map and Directions
Authorized official contact:
Name: Roby, William J. MBA
Phone: (301) 447-2361

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X Maryland
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Maryland
Behavioral Health & Social Service Providers / Professional 101YP2500X Maryland
Behavioral Health & Social Service Providers / Clinical 1041C0700X Maryland
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X Maryland
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X Maryland
Allopathic & Osteopathic Physicians / Addiction Psychiatry 2084P0802X Maryland
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X 20105 Maryland
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X 20105 Maryland
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X 903194 Maryland

Profile Details

NPI number 1619082005
LBN Legal business name Maryland Treatment Centers, Inc.
DBA Doing business as Avery Road Treatment Center
Authorized official Roby, William J. MBA
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 19th, 2006
Last updated Mar 15th, 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 1619082005 NPPES
Maryland MEDICAID 264553000
Maryland MEDICAID 090501103

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