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 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), 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 (301) 279-8828, or through Roby, William J. via phone (301) 447-2361.
Contact Information
Primary practice address
14701 Avery Rd
Rockville MD 20853-3605
Phone: (301) 279-8828
Fax: (301) 279-8910
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | MH484 | Maryland |
| Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder | 261QR0405X | 904068 | Maryland |
Profile Details
| NPI number | 1801194501 |
|---|---|
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801194501 | NPPES |
| Maryland | MEDICAID | 090501105 | |
| Maryland | MEDICAID | 510126300 | |
| Maryland | MEDICAID | PENDING |
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