Mentor MD
Mentor MD is an Adolescent and Children Mental Health Clinic/Center in Lanham, Maryland. Licensed in Maryland. Registered with an NPI since 2006.
- Licensed in
- MD
- In the registry since
- 2006
Practice location Address checks out
4501 Forbes Blvd Ste 140Lanham, MD 20706-4326
Phone: (301) 459-3057
Fax: (301) 731-3142
Show map & directions
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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 | 1659316636 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Edward Matricardi — State Director · (443) 543-2101 |
| NPI enumerated | June 17, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 4501 Forbes Blvd, Suite 140, Lanham, MD 20706-4326 |
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