Meadow Mountain Drug Treatment Program

NPI #1538355524 in Grantsville, Maryland

Provider Information

NPI Number: 1538355524
Entity Type: Organization
Organization Name: Meadow Mountain Drug Treatment Program
Subpart: Yes (part of a larger organization)
Parent Organization: MARYLAND DEPARTMENT OF JUVENILE SEVERVICE
Primary Specialty: Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children
Enumeration Date: Sep 24, 2007
Last Updated: Sep 24, 2007

Practice Location

Address: 234 RECOVERY RD
City: Grantsville
State: Maryland
ZIP Code: 21536-2217
Phone: (301) 895-5669

Authorized Official

Name: MR. WILLIAM PICKREL
Title: YOUTH CENTER ADMINISTRATOR
Phone: (301) 895-5669

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children — Substance Abuse Treatment, Children	3245S0500X	Primary

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