Healthcare Provider Details

I. General information

NPI: 1154626752
Provider Name (Legal Business Name): MARYLAND TREATMENT CENTERS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/13/2011
Last Update Date: 10/24/2025
Certification Date: 10/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1107 NORTH POINT BLVD STE 205
BALTIMORE MD
21224-3401
US

IV. Provider business mailing address

9701 KEYSVILLE RD
EMMITSBURG MD
21727-8619
US

V. Phone/Fax

Practice location:
  • Phone: 410-276-0153
  • Fax: 410-732-0362
Mailing address:
  • Phone: 301-447-2361
  • Fax: 301-447-3673

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number903870
License Number StateMD

VIII. Authorized Official

Name: MS. SARAH D BOLEK
Title or Position: ASSOC DIR CONTRACTS
Credential:
Phone: 240-401-3062