Imperial Mentoring, Llc | |
4180 Windsor Heights Pl White Plains MD 20695-3465 | |
(410) 702-8864 | |
Not Available |
Full Name | Imperial Mentoring, Llc |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 4180 Windsor Heights Pl, White Plains, Maryland |
Authorized Official Name and Position | Jessica Marie Waters (OWNER) |
Authorized Official Contact | 4107028864 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Imperial Mentoring, Llc 200 Wilson Point Rd Unit 4913 Middle River MD 21220-7601 Ph: (410) 702-8864 | Imperial Mentoring, Llc 4180 Windsor Heights Pl White Plains MD 20695-3465 Ph: (410) 702-8864 |
NPI Number | 1407594344 |
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Provider Enumeration Date | 05/20/2022 |
Last Update Date | 06/08/2022 |
Certification Date | 06/08/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407594344 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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