Mountain Manor Treatment Centers

LBN: Maryland Treatment Centers, Inc.
Mountain Manor Treatment Centers is an health care organization with primary practice located at 174 Thomas Johnson Dr Ste 101 , Frederick MD 21702-4571. 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. Maryland Treatment Centers, Inc. can be contacted via phone (301) 662-1407, or through Roby, William J via phone (301) 447-2361.

Contact Information

Primary practice address
174 Thomas Johnson Dr Ste 101 Frederick MD 21702-4571
Phone: (301) 662-1407
Fax: (301) 662-6989
Website:
Map and Directions
Authorized official contact:
Name: Roby, William J MBA
Phone: (301) 447-2361

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X 903869 Maryland

Profile Details

NPI number 1730277435
LBN Legal business name Maryland Treatment Centers, Inc.
DBA Doing business as Mountain Manor Treatment Centers
Authorized official Roby, William J MBA
Entity Organization
Organization subpart 1 No
Enumeration date Oct 10th, 2006
Last updated Feb 1st, 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 1730277435 NPPES
Maryland MEDICAID 510126303

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