NPI 1073021853

11100 Billingsley Road Opco LLC

Organisation Substance Abuse Rehabilitation Facility Waldorf, MD

Practice location

Address: 11100 Billingsley Rd, Waldorf, MD 20602-3400
Phone: (240) 754-6100
Mailing address: 2701 Renaissance Blvd Fl 4, King of Prussia, PA 19406-2781

Authorised official

Name: Serge Cruz
Title: Corp Dir Patient Accounts
Phone: (610) 427-9434

Registered specialties (2)

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X

Other Substance Abuse Rehabilitation Facility providers in Maryland →

Substance Use Disorder Rehabilitation Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QR0405X

Other Clinic/Center providers in Maryland →

Registry record

NPI: 1073021853
Entity type: Organization
NPI issued: 16 Jan 2018
Record last updated: 18 Dec 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.