OrganizationActive
11100 Billingsley Road Opco LLC
NPI 1639043011 · Substance Abuse Rehabilitation Facility · Waldorf, MD
Provider details
- NPI number
- 1639043011
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Authorized official
- Ray Molina, Dir Payer Relations
Mailing address
2201 Renaissance Blvd Fl 3
King of Prussia, PA 19406-2709
Registry dates
- Enumerated
- 2025-09-30
- Last updated
- 2025-09-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.