| Imperial Mentoring | |
|
518 S Camp Meade Rd Ste 2 Linthicum Heights MD 21090-2766 | |
| (410) 702-8864 | |
| Not Available |
| Full Name | Imperial Mentoring |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 518 S Camp Meade Rd Ste 2, Linthicum Heights, Maryland |
| Authorized Official Name and Position | Jessica M Waters (MANAGING DIRECTOR) |
| Authorized Official Contact | 4107028864 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Imperial Mentoring 7040 Matthias St Philadelphia PA 19128-3212 Ph: (410) 702-8864 | Imperial Mentoring 518 S Camp Meade Rd Ste 2 Linthicum Heights MD 21090-2766 Ph: (410) 702-8864 |
| NPI Number | 1396525291 |
|---|---|
| Provider Enumeration Date | 09/29/2023 |
| Last Update Date | 09/29/2023 |
| Certification Date | 09/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396525291 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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