Journeys Adolescent Program

LBN: Maryland Treatment Centers Inc
Journeys Adolescent Program is an health care organization with primary practice located at 14703 Avery Rd , Rockville MD 20853-3605. 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) 294-4015, or through Roby, William J via phone (301) 447-2361.

Contact Information

Primary practice address
14703 Avery Rd Rockville MD 20853-3605
Phone: (301) 294-4015
Fax: (301) 294-4017
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 15147 Maryland

Profile Details

NPI number 1760644835
LBN Legal business name Maryland Treatment Centers Inc
DBA Doing business as Journeys Adolescent Program
Authorized official Roby, William J MBA
Entity Organization
Organization subpart 1 No
Enumeration date Jun 30th, 2008
Last updated Apr 6th, 2021 - about 3 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 1760644835 NPPES
Maryland MEDICAID 391090300

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