NPIMap

Organization Active NPI

Maryland Treatment Centers Inc

Doing business as Journeys Adolescent Program

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Rockville, MD
National Provider Identifier
1760644835
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
15147 Issued in MD
Legal business name
MARYLAND TREATMENT CENTERS INC
Doing business as
Journeys Adolescent Program
Practice address
14703 Avery Rd
Rockville, MD 20853-3605
Phone
(301) 294-4015
Fax
(301) 294-4017
NPI assigned
Jun 30, 2008
Last updated
Oct 24, 2025By the provider in NPPES
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 15147 MD Primary

Addresses

Primary practice location

14703 Avery Rd
Rockville, MD 20853-3605

Mailing address

14703 Avery Rd
Rockville, MD 20853-3605
Phone (301) 762-5613

Other identifiers 1

IdentifierTypeStateIssuer
391090300MedicaidMD

Other names 1

  • Journeys Adolescent Program 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

Locations

402 Hungerford Dr
Rockville, MD 20850
Phone (301) 294-4015

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761264000000",
    "number": "1760644835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14703 AVERY RD",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208533605",
            "telephone_number": "301-762-5613",
            "fax_number": "301-762-3451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14703 AVERY RD",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208533605",
            "telephone_number": "301-294-4015",
            "fax_number": "301-294-4017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYLAND TREATMENT CENTERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-30",
        "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": "15147",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "391090300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Journeys Adolescent Program",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Journeys Adolescent Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rockville, 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.