| Avery Road Combined Care | |
|
14701 Avery Rd Rockville MD 20853-3605 | |
| (301) 279-8828 | |
| (301) 279-8910 |
| Full Name | Avery Road Combined Care |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 14701 Avery Rd, Rockville, Maryland |
| Authorized Official Name and Position | William J. Roby (EXECUTIVE VICE PRESIDENT) |
| Authorized Official Contact | 3014472361 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avery Road Combined Care 14701 Avery Rd Rockville MD 20853-3605 Ph: (301) 279-8828 | Avery Road Combined Care 14701 Avery Rd Rockville MD 20853-3605 Ph: (301) 279-8828 |
| NPI Number | 1801194501 |
|---|---|
| Provider Enumeration Date | 03/03/2011 |
| Last Update Date | 03/03/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801194501 | NPI | - | NPPES |
| 090501105 | Medicaid | MD | |
| 510126300 | Medicaid | MD | |
| PENDING | Medicaid | MD |
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