Maryland Treatment Centers, INC.
Substance Abuse Rehabilitation Facility in Rockville, MD. Organization (NPI-2).
NPI number1619082005
StatusActive
Last updated in NPPESOct 24, 2025
Details
- NPI
- 1619082005
- Entity type
- Organization (NPI-2)
- Legal business name
- Maryland Treatment Centers, INC.
- Organization subpart
- Yes
- Enumeration date
- Aug 19, 2006
- Certification date
- Oct 24, 2025
- Last updated
- Oct 24, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 324500000X | Substance Abuse Rehabilitation Facility | 903194 | MD | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | MD | |
| 101YP2500X | Counselor, Professional | – | MD | |
| 261QM0850X | Clinic/Center, Adult Mental Health | 20105 | MD | |
| 2084P0802X | Psychiatry & Neurology, Addiction Psychiatry | – | MD | |
| 2084A0401X | Psychiatry & Neurology, Addiction Medicine | – | MD | |
| 1041C0700X | Social Worker, Clinical | – | MD | |
| 2084P0800X | Psychiatry & Neurology, Psychiatry | – | MD | |
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | 20105 | MD | |
| 101YM0800X | Counselor, Mental Health | – | MD |
Other names
- Avery Road Treatment Center (Doing Business As)
Practice location
14703 Avery RdRockville, MD 20853-3605
Phone 301-762-5613 · Fax 301-762-3451
Mailing address
14703 Avery RdRockville, MD 20853-3605
Phone 301-762-5613 · Fax 301-762-3451
Authorized official
Sarah D Bolek
Assoc Dir Of Contracts
2404013062
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