| NPI | 1871949487 |
|---|---|
| Doing Business As | MOUNTAIN MANOR TREATMENT CENTER |
| Entity Type | Organization |
| Authorized Contact | SARAH BOLEK Contracts Coordinator 240-401-3062 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MD 13953) |
| Enumeration Date | 2016-05-12 |
| Last Update Date | 2016-05-12 |