| NPI | 1417038357 |
|---|---|
| Doing Business As | MOUNTAIN MANOR TREATMENT CENTER |
| 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 903866) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2010-12-30 |