NPI 1639696438
Montgomery County Maryland Government
Practice location
- Address
- 1301 Piccard Dr, Rockville, MD 20850-4320
- Phone
- (240) 777-4190
- Mailing address
- 401 Hungerford Dr Fl 6, Rockville, MD 20850-4154
Authorised official
- Name
- Diana Azucena Cortez
- Title
- Management
- Phone
- (240) 672-6758
Registered specialties (4)
Mental Illness Community Based Residential Treatment Facility
Primary
Mental Health Clinic/Center (Including Community Mental Health Center)
Adolescent and Children Mental Health Clinic/Center
State or Local Public Health Clinic/Center
Registry record
- NPI
- 1639696438
- Entity type
- Organization
- NPI issued
- 23 Aug 2017
- Record last updated
- 18 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.