National Provider Identifier Database

THE RECOVERY VILLAGE MARYLAND LLC
Substance Abuse Disorder Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.


Contact Information

THE RECOVERY VILLAGE MARYLAND, LLC
13400 EDGEMEADE ROAD
UPPER MARLBORO, MD20772
Phone: 754-300-3120
Fax: 888-919-4431
Website:
Specialty Taxonomy Code
* Substance Abuse Disorder Rehabilitation Facility 324500000X
Psychiatric Residential Treatment Facility 323P00000X

* Indicates primary specialty

NPI Profile & details for THE RECOVERY VILLAGE MARYLAND, LLC

NPI Number 1871949388
Legal business name
LBN
THE RECOVERY VILLAGE MARYLAND, LLC
Authorized official BELINA SURUJON - (LICENSING & CONTRACTING DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 05/13/2016
Last updated 05/11/2026 - About a month ago
Sole proprietor1 Not specified
Identifiers
  • MD License #: 16-023

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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