| Ontrack Maryland | |
|
610 E Diamond Ave Suite 100 Gaithersburg MD 20877-5321 | |
| (301) 840-3200 | |
| (301) 840-1348 |
| Full Name | Ontrack Maryland |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 610 E Diamond Ave, Gaithersburg, Maryland |
| Authorized Official Name and Position | Kylie Mccleaf (CEO) |
| Authorized Official Contact | 3018403267 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ontrack Maryland 610 E Diamond Ave Suite 100 Gaithersburg MD 20877-5321 Ph: (301) 840-3200 | Ontrack Maryland 610 E Diamond Ave Suite 100 Gaithersburg MD 20877-5321 Ph: (301) 840-3200 |
| NPI Number | 1306243878 |
|---|---|
| Provider Enumeration Date | 12/01/2014 |
| Last Update Date | 01/31/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306243878 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MH-678 (Maryland) | Primary |
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