Organization Active NPI

The Recovery Village Maryland, LLC

Doing business as IAFF Center of Excellence for Behavioral Health Treatment and Recovery

  • Substance Abuse Rehabilitation Facility
  • Upper Marlboro, MD
National Provider Identifier
1871949388
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
THE RECOVERY VILLAGE MARYLAND, LLC
Doing business as
IAFF Center of Excellence for Behavioral Health Treatment and Recovery
Practice address
13400 Edgemeade Road
Upper Marlboro, MD 20772
Phone
(754) 300-3120
Fax
(888) 919-4431
NPI assigned
May 13, 2016
Last updated
May 11, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Authorized official

Name
Belina Surujon
Title
Licensing & Contracting Director
Phone
(754) 300-3120

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X 16-023 MD
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

13400 Edgemeade Road
Upper Marlboro, MD 20772

Mailing address

2200 N Commerce Pkwy Ste 200
Weston, FL 33326-3258
Phone (754) 300-3120

Other names 1

  • IAFF Center of Excellence for Behavioral Health Treatment and Recovery 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
21D2125259The Recovery Village Maryland, LLC13400 Edgemeade Road, Upper Marlboro, MD 20772Certificate of waiverFeb 2, 2027

National Provider Directory

National Provider Directory

Locations

13400 Edgemeade Rd
Uppr Marlboro, MD 20772
Phone (240) 681-6000

Practitioners & affiliated clinicians

Practitioners 3

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": "1463097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778457600000",
    "number": "1871949388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 N COMMERCE PKWY STE 200",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333263258",
            "telephone_number": "754-300-3120",
            "fax_number": "888-919-4431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13400 EDGEMEADE ROAD",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "20772",
            "telephone_number": "754-300-3120",
            "fax_number": "888-919-4431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE RECOVERY VILLAGE MARYLAND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-13",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A",
        "authorized_official_last_name": "SURUJON",
        "authorized_official_first_name": "BELINA",
        "authorized_official_title_or_position": "LICENSING & CONTRACTING DIRECTOR",
        "authorized_official_telephone_number": "754-300-3120"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "MD",
            "license": "16-023",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IAFF Center of Excellence for Behavioral Health Treatment and Recovery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "IAFF Center of Excellence for Behavioral Health Treatment and Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Upper Marlboro, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; 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.