| Main Place Treatment Centers Llc. | |
|
915 Toll House Ave Ste 102 Frederick MD 21701-5911 | |
| (240) 575-1324 | |
| (301) 682-2053 |
| Full Name | Main Place Treatment Centers Llc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 915 Toll House Ave Ste 102, Frederick, Maryland |
| Authorized Official Name and Position | Amanda Marie Geyer (PROGRAM DIECTOR) |
| Authorized Official Contact | 2405751324 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Main Place Treatment Centers Llc. 365 W Patrick St Ste 202 Frederick MD 21701-4854 Ph: (240) 575-1324 | Main Place Treatment Centers Llc. 915 Toll House Ave Ste 102 Frederick MD 21701-5911 Ph: (240) 575-1324 |
| NPI Number | 1336614536 |
|---|---|
| Provider Enumeration Date | 10/04/2018 |
| Last Update Date | 10/04/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336614536 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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