Mentor MD

NPI #1659316636 in Lanham, Maryland

Provider Information

NPI Number
1659316636
Entity Type
Organization
Organization Name
Mentor MD
Primary Specialty
Clinic/Center - Adolescent and Children Mental Health
Enumeration Date
Jun 17, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
4501 FORBES BLVD
Address 2
SUITE 140
City
Lanham
ZIP Code
20706-4326
Phone
(301) 459-3057

Authorized Official

Name
MR. EDWARD MATRICARDI, LCSW - C
Title
STATE DIRECTOR
Phone
(443) 543-2101

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Adolescent and Children Mental HealthAdolescent and Children Mental Health

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