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General NPI Number Information
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NPI Number | 1154626752
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Entity Type | Organization
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Legal Business Name | MARYLAND TREATMENT CENTERS, INC.
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Dates
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Enumeration Date | 01/13/2011
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Last Update Date | 10/24/2025
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Provider Practice Location Address
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Address Line | 1107 NORTH POINT BLVD STE 205
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City | BALTIMORE
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State | MD
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Zip | 21224-3401
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Country | US
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Telephone | 410-276-0153
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Fax | 410-732-0362
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Provider Business Mailing Address
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Address Line | 9701 KEYSVILLE RD
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City | EMMITSBURG
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State | MD
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Zip | 21727-8619
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Country | US
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Telephone | 301-447-2361
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Fax | 301-447-3673
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Authorized Official
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Title or Position | ASSOC DIR CONTRACTS
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Name | MS. SARAH D BOLEK
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Credential |
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Telephone | 240-401-3062
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number | 903870
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License Number State | MD
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