OrganizationActive
11100 Billingsley Road Opco LLC
NPI 1073021853 · Substance Abuse Rehabilitation Facility · Waldorf, MD
Provider details
- NPI number
- 1073021853
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Authorized official
- Serge Cruz, Corp Dir Patient Accounts
Mailing address
2701 Renaissance Blvd Fl 4
King of Prussia, PA 19406-2781
Registry dates
- Enumerated
- 2018-01-16
- Last updated
- 2024-12-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.