| Mountain Manor Treatment Centers | |
|
9701 Keysville Rd Emmitsburg MD 21727-8619 | |
| (301) 447-2361 | |
| (301) 447-3673 |
| Full Name | Mountain Manor Treatment Centers |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 9701 Keysville Rd, Emmitsburg, 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 |
|---|---|
| Mountain Manor Treatment Centers 9701 Keysville Rd Emmitsburg MD 21727-8619 Ph: (301) 447-2361 | Mountain Manor Treatment Centers 9701 Keysville Rd Emmitsburg MD 21727-8619 Ph: (301) 447-2361 |
| NPI Number | 1083872105 |
|---|---|
| Provider Enumeration Date | 05/27/2008 |
| Last Update Date | 05/27/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083872105 | NPI | - | NPPES |
| 090501104 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (Maryland) | Secondary |
| 261QM0850X | Clinic/center - Adult Mental Health | (Maryland) | Primary |
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