Organization · Type 2 NPI

Maryland Treatment Centers, Inc.

Substance Use Disorder Rehabilitation Clinic/Center · Baltimore, MD

NPI number 1154626752 Active

Practice location

1107 North Point Blvd Ste 205
Baltimore, MD 21224-3401

Call (410) 276-0153 Map

Fax (410) 732-0362

Mailing address

9701 Keysville Rd
Emmitsburg, MD 21727-8619

Specialties and licenses

Taxonomy	Code	License
Substance Use Disorder Rehabilitation Clinic/Center Primary	261QR0405X	903870 (MD)

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NPI record

NPI: 1154626752
Entity type: Organization (Type 2)
Issued: Jan 13, 2011
Last updated: Oct 24, 2025
Status: Active

Other names

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Mountain Manor Adult Outpatient · doing business as
Mountain Manor Adult Outpatient · doing business as

Authorized official

Ms. Sarah D Bolek
Assoc Dir Contracts
(240) 401-3062

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1154626752

Maryland Treatment Centers, Inc.'s National Provider Identifier is 1154626752, issued on Jan 13, 2011. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Baltimore, MD. The record was last updated on Oct 24, 2025.