Mentor-Maryland
NPI #1588190748 in Halethorpe, Maryland
Provider Information
- NPI Number
- 1588190748
- Entity Type
- Organization
- Organization Name
- Mentor-Maryland
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- May 10, 2017
- Last Updated
- May 10, 2017
Practice Location
- Address
- 1540 CATON CENTER DRIVE
- City
- Halethorpe
- State
- Maryland
- ZIP Code
- 21227
- Phone
- (410) 737-4200
Authorized Official
- Name
- MS. IVY SIMMONS, PH.D
- Title
- DIRECTOR OF OMHC
- Phone
- (410) 455-4600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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