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11100 Billingsley Road Opco Llc
Substance Abuse Rehabilitation Facility in Waldorf, Maryland
NPI 1073021853

11100 Billingsley Road Opco Llc is a Substance Abuse Rehabilitation Facility based in King Of Prussia, MD. 11100 Billingsley Road Opco Llc practices in Waldorf, MD. The NPI Number for 11100 Billingsley Road Opco Llc is 1073021853 and holds a License No. (Maryland).

The current practice location address for 11100 Billingsley Road Opco Llc is 11100 Billingsley Rd, Waldorf, MD and can be reached out via phone at 610-994-2968. You can also correspond with 11100 Billingsley Road Opco Llc through the mailing address at 2701 RENAISSANCE BLVD FL 4, KING OF PRUSSIA, PA - 19406-2781 (mailing address contact number: 610-994-2968).

Location: 11100 Billingsley Rd, Waldorf, MD, 19406-2781
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1073021853
Provider Name
11100 Billingsley Road Opco Llc
Credential
Provider Entity Type
Organization
Address
11100 Billingsley Rd, Waldorf, MD, 19406-2781
Phone Number
610-994-2968
Fax Number
Provider Enumeration Date
01/16/2018
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
11100 Billingsley Rd
City
Waldorf
State
Maryland
Zip
20602-3400
Phone Number
610-994-2968
Fax Number
person
Provider Business Mailing Address Details
Address
2701 Renaissance Blvd Fl 4
City
King Of Prussia
State
Pennsylvania
Zip
19406-2781
Phone Number
610-994-2968
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
261QR0405X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
()
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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