| Mountain Manor Treatment Centers | |
|
3800 Frederick Ave Baltimore MD 21229-3618 | |
| (410) 233-1400 | |
| (410) 233-5583 |
| Full Name | Mountain Manor Treatment Centers |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 3800 Frederick Ave, Baltimore, Maryland |
| Authorized Official Name and Position | Barbara Groves (EXECUTIVE VICE PRESIDENT) |
| Authorized Official Contact | 4102331400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain Manor Treatment Centers 3800 Frederick Ave Baltimore MD 21229-3618 Ph: (410) 233-1400 | Mountain Manor Treatment Centers 3800 Frederick Ave Baltimore MD 21229-3618 Ph: (410) 233-1400 |
| NPI Number | 1508811936 |
|---|---|
| Provider Enumeration Date | 05/24/2006 |
| Last Update Date | 03/18/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508811936 | NPI | - | NPPES |
| 090501100 | Medicaid | MD | |
| 203102700 | Medicaid | MD | |
| 510126302 | Medicaid | MD | |
| 774502800 | Medicaid | MO | |
| 039155700 | Medicaid | MD | |
| 391090301 | Medicaid | MD |
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