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MARYLAND TREATMENT CENTERS, INC.
NPI 1417038357
Clinic/Center - Rehabilitation, Substance Use Disorder in Westminster, MD

Active since October 18, 2006CLIA 21D1080994 · Waiver
511 JERMOR LN STE 202-204, WESTMINSTER, MD 21157(410) 876-2425(410) 840-9388 Get Directions Write a Review

NPPES record last updated: October 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Maryland Treatment Centers, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARYLAND TREATMENT CENTERS, INC. (NPI 1417038357), doing business as Mountain Manor Treatment Center, is a healthcare organization registered as a rehabilitation, substance use disorder in Westminster, Maryland and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through March 6, 2028 and lists Sarah D Bolek, Assoc Dir Contracts, as its authorized official.

NPPES Registry Identity

NPI1417038357
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameMARYLAND TREATMENT CENTERS, INC.
Location Address511 JERMOR LN STE 202-204Westminster, MD 21157-6151
Mailing Address511 Jermor Ln Ste 202-204Westminster, MD 21157-6151 · (410) 876-2425 · Fax (410) 840-9388
Phone(410) 876-2425
Fax(410) 840-9388
Organization SubpartNo
Authorized OfficialSarah D BolekAssoc Dir Contracts · (240) 401-3062
Enumeration DateOctober 18, 2006
Last NPPES UpdateOctober 24, 2025
NPPES CertifiedOctober 24, 2025
✔ NPI 1417038357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
License✔ Licensed in MD · 903866
511 JERMOR LN STE 202-204, Westminster, MD 21157
Open in Google Maps ↗

Other Names 1

Doing Business AsMountain Manor Treatment Center

Other Identifiers 1

Medicaid510126301MD

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D1080994

Maryland Treatment Centers Inc Mountain Manor · Westminster, MD
Active · expires Mar 6, 2028
CLIA Number21D1080994
Laboratory TypePractitioner Other
Certificate Effective DateMarch 7, 2026
Certificate Expiration DateMarch 6, 2028
Laboratory DirectorMarc Fishman
Laboratory Phone(410) 876-2424
Laboratory LocationMaryland Treatment Centers Inc Mountain Manor511 Jermor Lane Ste 202, 203, 204, Westminster, MD 21157
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maryland Treatment Centers, Inc.'s NPI number?

The NPI number for Maryland Treatment Centers, Inc. is 1417038357. It was assigned to this organization in the NPPES registry on October 18, 2006. The provider is doing business as Mountain Manor Treatment Center.

Where is Maryland Treatment Centers, Inc. located?

Maryland Treatment Centers, Inc. is located at 511 Jermor Ln Ste 202-204, Westminster, MD 21157. The listed phone number is (410) 876-2425.

What is Maryland Treatment Centers, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Does Maryland Treatment Centers, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D1080994) is associated with this NPI, valid through March 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Maryland Treatment Centers, Inc. was last updated on October 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.