Mentor Maryland
Mentor Maryland is an Adolescent and Children Mental Health Clinic/Center in Baltimore, Maryland. Licensed in Maryland. Registered with an NPI since 2006.
- Licensed in
- MD
- In the registry since
- 2006
Practice location Address checks out
5720 Executive DrBaltimore, MD 21228-1757
Phone: (443) 543-2100
Fax: (443) 543-2110
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adolescent and Children Mental Health Clinic/Center (primary) | Taxonomy 261QM0855X · Licence 2012 (MD) |
|---|
Record details
| NPI number | 1518900364 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Edward Matricardi — State Director · (443) 543-2101 |
| NPI enumerated | June 13, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 5720 Executive Dr, Baltimore, MD 21228-1757 |
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