Montgomery County Maryland Government

NPI #1760808513 in Boyds, Maryland

Provider Information

NPI Number
1760808513
Entity Type
Organization
Organization Name
Montgomery County Maryland Government
Subpart
Yes (part of a larger organization)
Parent Organization
MONTGOMERY COUNTY MARYLAND GOVERNMENT
Primary Specialty
Clinic/Center - Rehabilitation, Substance Use Disorder
Enumeration Date
Mar 17, 2014
Last Updated
Mar 17, 2014

Practice Location

Address
22880 WHELAN LN
City
Boyds
ZIP Code
20841-9011
Phone
(240) 777-1671

Authorized Official

Name
MR. TIMOTHY FIRESTINE
Title
CHIEF ADMINISTRATIVE OFFICER
Phone
(240) 777-2500

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Rehabilitation, Substance Use DisorderRehabilitation, Substance Use Disorder

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