NPI 1639043011

11100 Billingsley Road Opco LLC

Organisation Substance Abuse Rehabilitation Facility Waldorf, MD

Practice location

Address: 11100 Billingsley Rd, Waldorf, MD 20602-3400
Phone: (240) 754-6137
Mailing address: 2201 Renaissance Blvd Fl 3, King of Prussia, PA 19406-2709

Authorised official

Name: Ray Molina
Title: Dir Payer Relations
Phone: (954) 716-2790

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: 1639043011
Entity type: Organization
NPI issued: 30 Sep 2025
Record last updated: 30 Sep 2025

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.