Healthcare Provider Details

I. General information

NPI: 1265730964
Provider Name (Legal Business Name): MARYLAND TREATMENT CENTERS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/03/2011
Last Update Date: 10/24/2025
Certification Date: 10/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7295 BUTTERCUP RD
SYKESVILLE MD
21784-7463
US

IV. Provider business mailing address

6655 SYKESVILLE RD
SYKESVILLE MD
21784-7966
US

V. Phone/Fax

Practice location:
  • Phone: 410-795-5767
  • Fax: 410-876-1690
Mailing address:
  • Phone: 410-876-1989
  • Fax: 410-876-1690

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number903968
License Number StateMD

VIII. Authorized Official

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