MARYLAND TREATMENT CENTERS, INC. (NPI# 1477593010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477593010 |
| Entity Type | Organization |
| Organization Name | MARYLAND TREATMENT CENTERS, INC. |
| Other Organization Name | MOUNTAIN MANOR TREATMENT CENTERS |
| Practice Address |
3800 Frederick Ave Baltimore MD 21229-3618 |
| Practice Telephone | 4102331400 |
| Practice Fax Number | 4102335583 |
| Mailing Telephone | 4102331400 |
| Mailing Fax Number | 4102335583 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2011-03-15 |
| Authorized Official Name | MS. BARBARA GROVES (EXECUTIVE VICE PRESIDENT) |
| Authorized Official Telephone | 4102331400 |
| Authorized Official Credential | MED |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
12524 | MD | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 391090301 | 05 |
| Other Name | Type Code |
|---|---|
| Mountain Manor Treatment Centers | 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 |
| 1871949487 | Maryland Treatment Centers, Inc. | Substance Abuse Rehabilitation Facility | 9701 Keysville Rd, Emmitsburg, MD 21727-8619 | 2016-05-12 |
| 1013361062 | Maryland Treatment Centers, Inc. | Clinic/Center | 8930 Stanford Blvd, Columbia, MD 21045-5805 | 2016-04-15 |
| 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 |
| 1831626936 | Maryland Treatment Centers Inc | Substance Abuse Rehabilitation Facility | 3800 Frederick Ave, Baltimore, MD 21229-3618 | 2017-05-19 |
| 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 |
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|---|---|---|---|---|
| 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 |
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| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
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|---|---|---|---|---|
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| 1851998892 | Maryland Community Health Initiatives, Inc. | Clinic/Center | 2648 Guilford Ave Apt 2fl, Baltimore, MD 21218-4611 | 2020-10-02 |
| 1801403324 | Maryland Community Health Initiatives, Inc. | Clinic/Center | 328 E 26th St, Baltimore, MD 21218-4702 | 2020-09-29 |
| 1275148975 | Hel Recovery Center | Clinic/Center | 1900 N Howard St Fl 2, Baltimore, MD 21218-5909 | 2020-09-10 |
| 1497365654 | Inspiring Change Mental Health Services, LLC. | Clinic/Center | 4654 York Rd Ste 1, Baltimore, MD 21212-4726 | 2020-08-03 |
| 1174132518 | Sabinas House LLC | Clinic/Center | 3103 Mareco Ave, Baltimore, MD 21213-1619 | 2020-07-30 |
| 1134738909 | Sabinas House LLC | Clinic/Center | 2224 Dukeland St, Baltimore, MD 21216-2812 | 2020-07-28 |
| 1881203792 | Sabinas House LLC | Clinic/Center | 3325 Shannon Dr, Baltimore, MD 21213-1823 | 2020-07-27 |
| 1356950265 | Sabinas House LLC | Clinic/Center | 616 Wildwood Pkwy, Baltimore, MD 21229-1810 | 2020-07-27 |
| 1598374407 | Sabinas House LLC | Clinic/Center | 605 Springfield Ave, Baltimore, MD 21212-4832 | 2020-07-27 |
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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.