11100 Billingsley Road Opco LLC
Substance Abuse Rehabilitation Facility in Waldorf, MD. Organization (NPI-2).
NPI number1639043011
StatusActive
Last updated in NPPESSep 30, 2025
Details
- NPI
- 1639043011
- Entity type
- Organization (NPI-2)
- Legal business name
- 11100 Billingsley Road Opco LLC
- Organization subpart
- No
- Enumeration date
- Sep 30, 2025
- Certification date
- Sep 30, 2025
- Last updated
- Sep 30, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 324500000X | Substance Abuse Rehabilitation Facility | – | – | Yes |
| 261QR0405X | Clinic/Center, Rehabilitation, Substance Use Disorder | – | – |
Other names
- Recovery Centers Of America Capital Region (Doing Business As)
Practice location
11100 Billingsley RdWaldorf, MD 20602-3400
Phone 240-754-6137
Mailing address
2201 Renaissance Blvd Fl 3King Of Prussia, PA 19406-2709
Phone 484-971-6409
Authorized official
Ray Molina
Dir Payer Relations
9547162790
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