NPIMap

Organization Active NPI

Maryland Treatment Centers, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Westminster, MD
National Provider Identifier
1417038357
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
903866 Issued in MD
Legal business name
MARYLAND TREATMENT CENTERS, INC.
Doing business as
Mountain Manor Treatment Center
Practice address
511 Jermor LN Ste 202-204
Westminster, MD 21157-6151
Phone
(410) 876-2425
Fax
(410) 840-9388
NPI assigned
Oct 18, 2006
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 903866 MD Primary

Addresses

Primary practice location

511 Jermor LN Ste 202-204
Westminster, MD 21157-6151

Mailing address

511 Jermor LN Ste 202-204
Westminster, MD 21157-6151
Phone (410) 876-2425

Other identifiers 1

IdentifierTypeStateIssuer
510126301MedicaidMD

Other names 1

  • Mountain Manor Treatment Center Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D1080994Maryland Treatment Centers Inc Mountain Manor511 Jermor Lane Ste 202, 203, 204, Westminster, MD 21157Certificate of waiverMar 6, 2028

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

Locations

511 Jermor Ln
Ste 202204
Westminster, MD 21157
Phone (410) 876-2425

250 Englar Rd
Ste 20
Westminster, MD 21157

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761264000000",
    "number": "1417038357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 JERMOR LN STE 202-204",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211576151",
            "telephone_number": "410-876-2425",
            "fax_number": "410-840-9388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 JERMOR LN STE 202-204",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211576151",
            "telephone_number": "410-876-2425",
            "fax_number": "410-840-9388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYLAND TREATMENT CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "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": "903866",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "510126301",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mountain Manor Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westminster, 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.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.