Avery Road Treatment Center

LBN: Maryland Treatment Centers Inc
Avery Road Treatment Center is an health care organization with primary practice located at 14703 Avery Rd , Rockville MD 20853-3605. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as the primary health care specialty. Maryland Treatment Centers Inc can be contacted via phone (301) 762-5613, or through Bolek, Sarah via phone (240) 401-3062.

Contact Information

Primary practice address
14703 Avery Rd Rockville MD 20853-3605
Phone: (301) 762-5613
Fax: (301) 762-3451
Website:
Map and Directions
Authorized official contact:
Name: Bolek, Sarah
Phone: (240) 401-3062

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X

Profile Details

NPI number 1902333024
LBN Legal business name Maryland Treatment Centers Inc
DBA Doing business as Avery Road Treatment Center
Authorized official Bolek, Sarah
Entity Organization
Organization subpart 1 Yes
Enumeration date May 19th, 2017
Last updated Apr 6th, 2021 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902333024 NPPES
Maryland MEDICAID 500231102

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