Active NPI
Maryland Treatment Centers, Inc.
Doing business as Mountain Manor Treatment Center
- Substance Abuse Rehabilitation Facility
- Emmitsburg, MD
National Provider Identifier
1871949487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- License
- 13953
- Legal business name
- MARYLAND TREATMENT CENTERS, INC.
- Doing business as
- Mountain Manor Treatment Center
- Practice address
- 9701 Keysville Rd
Emmitsburg, MD 21727-8619 - Phone
- (301) 447-2360
- Fax
- (301) 447-3673
- NPI assigned
- May 12, 2016
- Last updated
- May 12, 2016
- Organization subpart
- Yes
- Parent organization
- MARYLAND TREATMENT CENTERS, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sarah Bolek
- Title
- Contracts Coordinator
- Phone
- (240) 401-3062
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | 13953 | MD | Primary |
Addresses
Primary practice location
9701 Keysville Rd
Emmitsburg, MD 21727-8619
Mailing address
3800 Frederick Ave
Baltimore, MD 21229-3618
Phone (410) 233-1400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13953 | Other | MD | LICENSE |
Other names 1
- Mountain Manor Treatment Center
National Provider Directory
National Provider Directory- Part of
- Maryland Treatment Centers Inc
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463011200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1463011200000",
"number": "1871949487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3800 FREDERICK AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212293618",
"telephone_number": "410-233-1400",
"fax_number": "410-233-1666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9701 KEYSVILLE RD",
"city": "EMMITSBURG",
"state": "MD",
"postal_code": "217278619",
"telephone_number": "301-447-2360",
"fax_number": "301-447-3673"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARYLAND TREATMENT CENTERS, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MARYLAND TREATMENT CENTERS, INC.",
"enumeration_date": "2016-05-12",
"last_updated": "2016-05-12",
"status": "A",
"authorized_official_last_name": "BOLEK",
"authorized_official_first_name": "SARAH",
"authorized_official_title_or_position": "CONTRACTS COORDINATOR",
"authorized_official_telephone_number": "240-401-3062"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": "MD",
"license": "13953",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "13953",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Mountain Manor Treatment Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Emmitsburg, MD
- Maryland Treatment Centers, Inc. (Mountain Manor Treatment Centers)
- Maryland Treatment Centers, Inc. (Mountain Manor Treatment Center-Emmitsburg)
- Maryland Treatment Centers, Inc. (Mountain Manor-Emmitsburg)
- Maryland Treatment Centers, Inc. (Mountain Manor-Reflections)
- Maryland Treatment Centers, Inc.
- Katelyn Anne McDearmon, LGPC
- Med.One Pharmacy Inc (Emmitsburg Pharmacy)
- Alexa R Mochan, M. ED., BCBA, LBA
- Morningstar & Carroll PA
- New Heights Counseling Services, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.