MARYLAND TREATMENT CENTERS, INC.
NPI 1730277435
Clinic/Center - Rehabilitation, Substance Use Disorder in Frederick, MD

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

The NPI number for Maryland Treatment Centers, Inc. is 1730277435. It was assigned to this organization in the NPPES registry on October 10, 2006. The provider is doing business as Mountain Manor Treatment Centers.

Q: 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.

Active since October 10, 2006CLIA 21D1080995 · Waiver

174 THOMAS JOHNSON DR STE 101-102, FREDERICK, MD 21702(301) 662-1407(301) 662-6989 Get Directions Write a Review

NPPES record last updated: October 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Maryland Treatment Centers, Inc. NPPES

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

MARYLAND TREATMENT CENTERS, INC. (NPI 1730277435), doing business as Mountain Manor Treatment Centers, is a healthcare organization registered as a rehabilitation, substance use disorder in Frederick, Maryland and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through September 17, 2026 and lists Sarah D Bolek, Assoc Dir Contracts, as its authorized official.

NPPES Registry Identity

NPI1730277435

Entity TypeOrganization

Primary Taxonomy261QR0405X

Legal Business NameMARYLAND TREATMENT CENTERS, INC.

Location Address174 THOMAS JOHNSON DR STE 101-102Frederick, MD 21702-4423

Mailing Address174 Thomas Johnson Dr Ste 101-102Frederick, MD 21702-4423 · (301) 662-1407 · Fax (301) 662-6989

Phone(301) 662-1407

Fax(301) 662-6989

Organization SubpartNo

Authorized OfficialSarah D BolekAssoc Dir Contracts · (240) 401-3062

Enumeration DateOctober 10, 2006

Last NPPES UpdateOctober 24, 2025

NPPES CertifiedOctober 24, 2025

✔ NPI 1730277435 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 · 903869

174 THOMAS JOHNSON DR STE 101-102, Frederick, MD 21702

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Other Names 1

Doing Business AsMountain Manor Treatment Centers

Other Identifiers 1

Medicaid510126303MD

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 21D1080995

Maryland Treatment Centers Inc Mountain Manor - Frederick · Frederick, MD

Active · expires Sep 17, 2026

CLIA Number21D1080995

Laboratory TypePractitioner Other

Certificate Effective DateSeptember 18, 2024

Certificate Expiration DateSeptember 17, 2026

Laboratory DirectorMarc J. Fishman

Laboratory Phone(301) 662-6989

Laboratory LocationMaryland Treatment Centers Inc Mountain Manor - Frederick174 Thomas Johnson Dr Suite 102, Frederick, MD 21701

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 1730277435. It was assigned to this organization in the NPPES registry on October 10, 2006. The provider is doing business as Mountain Manor Treatment Centers.

Where is Maryland Treatment Centers, Inc. located?

Maryland Treatment Centers, Inc. is located at 174 Thomas Johnson Dr Ste 101-102, Frederick, MD 21702. The listed phone number is (301) 662-1407.

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 21D1080995) is associated with this NPI, valid through September 17, 2026. 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.