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Montgomery County Maryland Government
Mental Illness Community Based Residential Treatment Facility in Rockville, Maryland
NPI 1730487703

Montgomery County Maryland Government is a Mental Illness Community Based Residential Treatment Facility based in Rockville, MD. Montgomery County Maryland Government practices in Rockville, MD. The NPI Number for Montgomery County Maryland Government is 1730487703 and holds a License No. 22906 (Maryland).

The current practice location address for Montgomery County Maryland Government is 1301 Piccard Dr, Rockville, MD and can be reached out via phone at 240-777-4190.

Location: 1301 Piccard Dr, Rockville, MD, 20850-4154
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1730487703
Provider Name
Montgomery County Maryland Government
Credential
Provider Entity Type
Organization
Address
1301 Piccard Dr, Rockville, MD, 20850-4154
Phone Number
240-777-4190
Fax Number
Provider Enumeration Date
03/01/2011
Last Update Date
10/19/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
420417400 05 MD
institution
Provider Business Practice Location Address Details
Address
1301 Piccard Dr
City
Rockville
State
Maryland
Zip
20850-4320
Phone Number
240-777-4190
Fax Number
person
Provider Business Mailing Address Details
Address
1301 Piccard Dr
City
Rockville
State
Maryland
Zip
20850-4320
Phone Number
240-777-4190
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
4782-06 (Maryland)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
22906 (Maryland)
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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