NPIMap

Organization Active NPI

Maryland Treatment Centers, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Baltimore, MD
National Provider Identifier
1154626752
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
903870 Issued in MD
Legal business name
MARYLAND TREATMENT CENTERS, INC.
Practice address
1107 North Point Blvd Ste 205
Baltimore, MD 21224-3401
Phone
(410) 276-0153
Fax
(410) 732-0362
NPI assigned
Jan 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Sarah D Bolek
Title
Assoc Dir Contracts
Phone
(240) 401-3062

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 903870 MD Primary

Addresses

Primary practice location

1107 North Point Blvd Ste 205
Baltimore, MD 21224-3401

Mailing address

9701 Keysville Rd
Emmitsburg, MD 21727-8619
Phone (301) 447-2361

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidMD

Other names 1

  • Mountain Manor Adult Outpatient Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Maryland Treatment Centers Inc42 organizations share this tax ID, including this one

Other organizations with this tax ID 41

Organizations that report the same tax identification number in the National Provider Directory.

View all 41

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1294876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761264000000",
    "number": "1154626752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9701 KEYSVILLE RD",
            "city": "EMMITSBURG",
            "state": "MD",
            "postal_code": "217278619",
            "telephone_number": "301-447-2361",
            "fax_number": "301-447-3673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 NORTH POINT BLVD STE 205",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212243401",
            "telephone_number": "410-276-0153",
            "fax_number": "410-732-0362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYLAND TREATMENT CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-13",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A",
        "authorized_official_last_name": "BOLEK",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "ASSOC DIR CONTRACTS",
        "authorized_official_telephone_number": "240-401-3062",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "MD",
            "license": "903870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mountain Manor Adult Outpatient",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mountain Manor Adult Outpatient",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.