Organization · Type 2 NPI

Ryan Rehabilitation LLC

Addiction (Substance Use Disorder) Counselor · Suitland, MD

NPI number 1295200400 Active

Practice location

5210 Auth Rd Ste 100
Suitland, MD 20746-4344

Call (301) 423-9250 Map

Fax (301) 423-8735

Mailing address

19630 Club House Rd Ste 715
Montgomery Village, MD 20886-3040

Specialties and licenses

Taxonomy	Code	License
Addiction (Substance Use Disorder) Counselor Primary	101YA0400X	None listed
Mental Health Counselor	101YM0800X	None listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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Ryan Rehabilitation LLCAddiction (Substance Use Disorder) Counselor Suitland, MD NPI 1316427610

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NPI record

NPI: 1295200400
Entity type: Organization (Type 2)
Issued: Oct 4, 2018
Last updated: Sep 25, 2024
Status: Active

Other names

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Ryan Rehabilitation LLC · doing business as
Ryan Rehabilitation LLC · doing business as

Authorized official

Melanie Suthard
Billing Manager
(301) 942-9773

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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 1295200400

Ryan Rehabilitation LLC's National Provider Identifier is 1295200400, issued on Oct 4, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Suitland, MD. The record was last updated on Sep 25, 2024.