MARYLAND TREATMENT CENTERS INC (NPI# 1831626936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831626936 |
| Entity Type | Organization |
| Organization Name | MARYLAND TREATMENT CENTERS INC |
| Other Organization Name | MOUNTAIN MANOR- BALITMORE |
| Practice Address |
3800 Frederick Ave Baltimore MD 21229-3618 |
| Mailing Address |
9701 Keysville Rd Emmitsburg MD 21727-8619 |
| Practice Telephone | 4102331400 |
| Practice Fax Number | 4102331666 |
| Mailing Telephone | 3014472361 |
| Enumeration Date | 2017-05-19 |
| Last Update Date | 2017-05-19 |
| Authorized Official Name | SARAH BOLEK (CONTRACTS COORDINATOR) |
| Authorized Official Telephone | 2404013062 |
| Is Organization Subpart | Y |
| Parent Organization Name | MARYLAND TREATMENT CENTERS INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Mountain Manor- Balitmore | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417556077 | Maryland Treatment Centers Inc | Clinic/Center | 7281 Marcies Choice Ln Fl 2, Frederick, MD 21704-8329 | 2020-10-23 |
| 1184275513 | Maryland Treatment Centers Inc | Substance Abuse Rehabilitation Facility | 7295 Buttercup Rd, Sykesville, MD 21784-7463 | 2019-09-26 |
| 1841702180 | Maryland Treatment Centers Inc | Substance Abuse Rehabilitation Facility | 14701 Avery Rd, Rockville, MD 20853-3605 | 2017-10-26 |
| 1639606759 | Maryland Treatment Centers Inc | Substance Abuse Rehabilitation Facility | 6655 Sykesville Rd, Sykesville, MD 21784-7966 | 2017-05-19 |
| 1548797665 | Maryland Treatment Centers Inc | Substance Abuse Rehabilitation Facility | 9701 Keysville Rd, Emmitsburg, MD 21727-8619 | 2017-05-19 |
| 1093242117 | Maryland Treatment Centers Inc | Substance Abuse Rehabilitation Facility | 14701 Avery Rd, Rockville, MD 20853-3605 | 2017-05-19 |
| 1902333024 | Maryland Treatment Centers Inc | Substance Abuse Rehabilitation Facility | 14701 Avery Rd, Rockville, MD 20853-3605 | 2017-05-19 |
| 1942462015 | Maryland Treatment Centers Inc | Substance Abuse Rehabilitation Facility | 9701 Keysville Rd, Emmitsburg, MD 21727-8619 | 2008-06-30 |
| 1851553929 | Maryland Treatment Centers Inc | Substance Abuse Rehabilitation Facility | 9701 Keysville Rd, Emmitsburg, MD 21727-8619 | 2008-06-30 |
| 1760644835 | Maryland Treatment Centers Inc | Clinic/Center | 402 Hungerford Dr, Rockville, MD 20850-4119 | 2008-06-30 |
| Street Address |
3800 FREDERICK AVE |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21229-3618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508811936 | Maryland Treatment Centers, Inc. | Psychiatry & Neurology | 3800 Frederick Ave, Baltimore, MD 21229-3618 | 2006-05-24 |
| 1740811587 | Luciana Lavorato | Counselor | 3800 Frederick Ave, Baltimore, MD 21229-3618 | 2020-01-30 |
| 1568019701 | Amy Linde | Social Worker | 3800 Frederick Ave, Baltimore, MD 21229-3618 | 2019-08-22 |
| 1164980074 | Shanice Hackley | Social Worker | 3800 Frederick Ave, Baltimore, MD 21229-3618 | 2019-03-10 |
| 1578076634 | Chimene Kiswey Diomi | Registered Nurse | 3800 Frederick Ave, Baltimore, MD 21229-3618 | 2017-11-13 |
| 1407398944 | Paul Wells | Counselor | 3800 Frederick Ave, Baltimore, MD 21229-3618 | 2016-11-15 |
| 1508214073 | Amy Armstrong | Social Worker | 3800 Frederick Ave, Baltimore, MD 21229-3618 | 2016-05-25 |
| 1841647872 | Mitchell Cohen | Social Worker | 3800 Frederick Ave, Baltimore, MD 21229-3618 | 2016-05-19 |
| 1457717829 | Josh Wilson | Social Worker | 3800 Frederick Ave, Baltimore, MD 21229-3618 | 2016-01-14 |
| 1255749008 | Tiffany Clayton | Counselor | 3800 Frederick Ave, Baltimore, MD 21229-3618 | 2014-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265068373 | Bodyworks Medical | Clinic/Center | St. Agnes Medical Center, 3455 Wilkens Ave Suite 100, Baltimore, MD 21229 | 2020-03-20 |
| 1750932430 | Amanda Felix | Nurse Practitioner | 5411 Old Frederick Road, Catonsville, MD 21229 | 2019-09-24 |
| 1497317853 | Wakeelat A Adeoye | Nurse Practitioner | 5411 0ld Fredrick Rd, Suite 7, Baltimore, MD 21229 | 2019-07-05 |
| 1598328080 | Oprah Cherelle Keyes | Social Worker | 4511 Birchwood Drive, Baltimore, MD 21229 | 2019-04-19 |
| 1477051779 | Shahin Vohara | Dentist | Dental Dreams, 4510 Edmondson Avenue, Edmondson Village Shopping Center, Baltimore, MD 21229 | 2018-02-01 |
| 1386179299 | Sharon Mccollough | Counselor | 3219 Phelps Lane, First Floor, Baltimore, MD 21229 | 2017-04-28 |
| 1184175697 | Yekeen Odewale | Registered Nurse | 5411 Old Frederick Rd Ste 7, Baltimore, MD 21229 | 2016-10-19 |
| 1942608070 | Charity Ashe | Social Worker | 4024 Colborne Rd, Baltimore, MD 21229 | 2014-12-05 |
| 1376947127 | Sumanya Venkat Rao | Dentist | 4510 Edmondson Ave, Baltimore, MD 21229 | 2014-10-21 |
| 1497091573 | Anita Phillips | Social Worker | 5110 Frederick Avenue, Baltimore, MD 21229 | 2012-12-18 |
| Find all providers in zip 21229 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942808050 | Powell Recovery Center, Inc. | Substance Abuse Rehabilitation Facility | 10 S Broadway, Baltimore, MD 21231-1775 | 2020-10-12 |
| 1396343414 | Powell Recovery Center, Inc. | Substance Abuse Rehabilitation Facility | 15 S Broadway, Baltimore, MD 21231-1714 | 2020-10-12 |
| 1457968984 | Powell Recovery Center | Substance Abuse Rehabilitation Facility | 22 S Broadway, Baltimore, MD 21231-1711 | 2020-09-29 |
| 1356956676 | The Elysian Fields Optimum Wellness and Mental Health Group, LLC | Substance Abuse Rehabilitation Facility | 2901 Erdman Ave, Baltimore, MD 21213-1139 | 2020-09-14 |
| 1134731284 | Serenity Keepers of Maryland LLC | Substance Abuse Rehabilitation Facility | 3645 Cottage Ave, Baltimore, MD 21215-7725 | 2020-08-20 |
| 1447875216 | Unlimited Bounds Human Services LLC | Substance Abuse Rehabilitation Facility | 504 Beaumont Ave, Baltimore, MD 21212-4310 | 2020-06-08 |
| 1417577966 | Royal Minds Inc | Substance Abuse Rehabilitation Facility | 928 W Franklin St, Baltimore, MD 21223-1337 | 2020-04-24 |
| 1912527722 | Royal Minds Inc | Substance Abuse Rehabilitation Facility | 533 Chateau Ave, Baltimore, MD 21212-4306 | 2020-04-22 |
| 1841829892 | Cmds Residential | Substance Abuse Rehabilitation Facility | 15 S Fulton Ave, Baltimore, MD 21223-2306 | 2020-04-02 |
| 1306472964 | Created for Greater Health Systems | Substance Abuse Rehabilitation Facility | 1508 N Caroline St, Baltimore, MD 21213-2804 | 2020-03-16 |
| Find all providers in BALTIMORE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.