Outpatient Addictions Clinic

LBN: Montgomery County Maryland Government
Outpatient Addictions Clinic is an health care organization with primary practice located at 1500 E Gude Dr , Rockville MD 20850-5307. 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. Montgomery County Maryland Government can be contacted via phone (301) 251-4580, or through Johnson, Jameelah via phone (240) 773-1211.

Contact Information

Primary practice address
1500 E Gude Dr Rockville MD 20850-5307
Phone: (301) 251-4580
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Jameelah
Phone: (240) 773-1211

Health care specialties

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

Profile Details

NPI number 1982972766
LBN Legal business name Montgomery County Maryland Government
DBA Doing business as Outpatient Addictions Clinic
Authorized official Johnson, Jameelah
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 7th, 2011
Last updated May 7th, 2024 - about 6 months 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 1982972766 NPPES
Maryland MEDICAID 420867600

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