MARYLAND TREATMENT CENTERS, INC. (NPI# 1871949487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871949487 |
| Entity Type | Organization |
| Organization Name | MARYLAND TREATMENT CENTERS, INC. |
| Other Organization Name | MOUNTAIN MANOR TREATMENT CENTER |
| Practice Address |
9701 Keysville Rd Emmitsburg MD 21727-8619 |
| Mailing Address |
3800 Frederick Ave Baltimore MD 21229-3618 |
| Practice Telephone | 3014472360 |
| Practice Fax Number | 3014473673 |
| Mailing Telephone | 4102331400 |
| Mailing Fax Number | 4102331666 |
| Enumeration Date | 2016-05-12 |
| Last Update Date | 2016-05-12 |
| 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 | 13953 | MD | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | LICENSE | 13953 | 01 |
| Other Name | Type Code |
|---|---|
| Mountain Manor Treatment Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538428339 | Maryland Treatment Centers, Inc. | Clinic/Center | 1 Lawrence Ct, Rockville, MD 20850-1523 | 2012-05-14 |
| 1154626752 | Maryland Treatment Centers, Inc. | Clinic/Center | 1107 North Point Blvd Ste 205, Baltimore, MD 21224-3401 | 2011-01-13 |
| 1922244615 | Maryland Treatment Centers, Inc. | Clinic/Center | 2801 Cheverly Ave, 3rd and 4th Floor, Cheverly, MD 20785-3125 | 2008-12-30 |
| 1730277435 | Maryland Treatment Centers, Inc. | Clinic/Center | 174 Thomas Johnson Dr Ste 101, Frederick, MD 21702-4571 | 2006-10-10 |
| 1619082005 | Maryland Treatment Centers, Inc. | Psychiatry & Neurology | 14703 Avery Rd, Rockville, MD 20853-3605 | 2006-08-19 |
| 1841305232 | Maryland Treatment Centers, Inc. | Clinic/Center | 402-404 Hungerford Drive, Rockville, MD 20850-4119 | 2006-08-19 |
| 1144334178 | Maryland Treatment Centers, Inc. | Counselor | 3243 Eastern Ave, Baltimore, MD 21224-4013 | 2006-08-18 |
| 1508811936 | Maryland Treatment Centers, Inc. | Psychiatry & Neurology | 3800 Frederick Ave, Baltimore, MD 21229-3618 | 2006-05-24 |
| 1013361062 | Maryland Treatment Centers, Inc. | Clinic/Center | 8930 Stanford Blvd, Columbia, MD 21045-5805 | 2016-04-15 |
| 1598172892 | Maryland Treatment Centers, Inc. | Clinic/Center | 9701 Keysville Rd, Emmitsburg, MD 21727-8619 | 2014-07-18 |
| Street Address |
9701 KEYSVILLE RD |
| City | EMMITSBURG |
| State | MD |
| Zip Code | 21727-8619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558318329 | Potomac Healthcare Foundation, Ltd | Clinic/Center | 9701 Keysville Rd, Emmitsburg, MD 21727-8619 | 2006-05-27 |
| 1194238782 | Potomac Healthcare Foundation, Ltd | Substance Abuse Rehabilitation Facility | 9701 Keysville Rd, Emmitsburg, MD 21727-8619 | 2017-11-06 |
| 1548797665 | Maryland Treatment Centers Inc | Substance Abuse Rehabilitation Facility | 9701 Keysville Rd, Emmitsburg, MD 21727-8619 | 2017-05-19 |
| 1174067714 | Heather Derpic | Counselor | 9701 Keysville Rd, Emmitsburg, MD 21727-8619 | 2016-12-16 |
| 1508314758 | Rachel Oelslager | Counselor | 9701 Keysville Rd, Emmitsburg, MD 21727-8619 | 2016-09-16 |
| 1598172892 | Maryland Treatment Centers, Inc. | Clinic/Center | 9701 Keysville Rd, Emmitsburg, MD 21727-8619 | 2014-07-18 |
| 1851705644 | Elizabeth Tabbachino | Social Worker | 9701 Keysville Rd, Us Route 15 and Keysville Road, Emmitsburg, MD 21727-8619 | 2014-06-19 |
| 1699194282 | Elissa Samuels | Counselor | 9701 Keysville Rd, Us Route 15 and Keysville Road, Emmitsburg, MD 21727-8619 | 2014-04-10 |
| 1598181232 | Jodie Clabaugh | Social Worker | 9701 Keysville Rd, Emmitsburg, MD 21727-8619 | 2014-03-05 |
| 1487086807 | Maryland Treatment Centers, Inc. | Substance Abuse Rehabilitation Facility | 9701 Keysville Rd, Emmitsburg, MD 21727-8619 | 2013-08-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700297090 | Accent Counseling LLC | Counselor | 121-123 West Main Street, C/o Emmitsburg Osteopathic Primary Care Center, Emmitsburg, MD 21727 | 2014-05-08 |
| 1285835983 | Timothy B Bringardner | Dentist | 101 S Seton Ave, Emmitsburg, MD 21727 | 2007-05-30 |
| 1336361658 | Everett Henry Bayliss Jr. | Registered Nurse | 121-123 W. Maine Street, Emmitsburg, MD 21727 | 2007-05-03 |
| 1700900891 | John Allen Reilly | Internal Medicine | 16722 Annandale Rd Ste D-1, Emmitsburg, MD 21727 | 2007-03-16 |
| 1609864453 | Bonita J Krempel-portier | Internal Medicine | 121 W. Main Street, Emmitsburg, MD 21727 | 2005-10-06 |
| 1952509176 | Newman Family Chiropractic | Chiropractor | 198 Thomas Johnson Dr, Suite 12, Frederick, MD 21727 | 2007-07-10 |
| 1417082900 | Emmitsburg Osteopathic Primary Care Center, Inc. | Internal Medicine | 121 W. Main Street, Rear, Emmitsburg, MD 21727-1219 | 2007-02-23 |
| 1891996419 | Eric Glen Hansen | Specialist | 16300 Old Emmitsburg Rd, Emmitsburg, MD 21727-7700 | 2007-05-30 |
| 1508417254 | Joe Franklin | Specialist/Technologist | 16300 Old Emmitsburg Rd, Emmitsburg, MD 21727-7702 | 2019-09-24 |
| 1285137539 | Matthew Paul Dechant | Specialist/Technologist | 16300 Old Emmitsburg Rd, Emmitsburg, MD 21727-7702 | 2018-03-13 |
| Find all providers in zip 21727 | ||||
| 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 |
|---|---|---|---|---|
| 1194238782 | Potomac Healthcare Foundation, Ltd | Substance Abuse Rehabilitation Facility | 9701 Keysville Rd, Emmitsburg, MD 21727-8619 | 2017-11-06 |
| 1548797665 | Maryland Treatment Centers Inc | Substance Abuse Rehabilitation Facility | 9701 Keysville Rd, Emmitsburg, MD 21727-8619 | 2017-05-19 |
| 1487086807 | Maryland Treatment Centers, Inc. | Substance Abuse Rehabilitation Facility | 9701 Keysville Rd, Emmitsburg, MD 21727-8619 | 2013-08-08 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477151066 | Evolve Residential, LLC | Substance Abuse Rehabilitation Facility | 486 Lincoln Dr, Glen Burnie, MD 21060-8706 | 2020-10-15 |
| 1841898434 | Evolve Residential, LLC | Substance Abuse Rehabilitation Facility | 394 Washington Ave, Glen Burnie, MD 21060-8712 | 2020-10-15 |
| 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 |
| 1801494984 | Evolve Residential, LLC | Substance Abuse Rehabilitation Facility | 8315 Veterans Hwy, Millersville, MD 21108-1421 | 2020-10-12 |
| 1124626296 | Evolve Residential, LLC | Substance Abuse Rehabilitation Facility | 390 Washington Ave, Glen Burnie, MD 21060-8712 | 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 |
| 1255949392 | Champ House Recovery Inc. | Substance Abuse Rehabilitation Facility | 8655 Normal School Rd, Bowie, MD 20715-3326 | 2020-07-15 |
| Find all providers with the same taxonomy | ||||
| City | EMMITSBURG |
| Zip Code | 21727 |
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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.