Montgomery County Maryland Government
Clinic/Center, Rehabilitation, Substance Use Disorder in Rockville, MD. Organization (NPI-2).
NPI number1609697804
StatusActive
Last updated in NPPESNov 25, 2024
Details
- NPI
- 1609697804
- Entity type
- Organization (NPI-2)
- Legal business name
- Montgomery County Maryland Government
- Organization subpart
- No
- Enumeration date
- Oct 21, 2024
- Certification date
- Nov 25, 2024
- Last updated
- Nov 25, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR0405X | Clinic/Center, Rehabilitation, Substance Use Disorder | – | – | Yes |
Practice location
1500 E Gude DrRockville, MD 20850-5307
Phone 240-777-0311
Mailing address
401 Hungerford Dr Fl 6Rockville, MD 20850-4154
Phone 240-773-1211
Authorized official
Jameelah Johnson
Manager
2407731211
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All 10 Substance Use Disorder Rehabilitation Clinic/Center providers in Rockville · All 17,053 providers in Rockville
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