| NPI | 1144334178 |
|---|---|
| Doing Business As | MOUNTAIN MANOR ADULT OUTPATIENT |
| Entity Type | Organization |
| Authorized Contact | WILLIAM J ROBY Executive Vice President 301-447-2361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: MD 903870) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 1041C0700X Social Worker, Clinical | |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry | |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2011-01-04 |