| Mendelis Mental Health Center | |
|
11315 Pembrooke Square Medical Center Suite 112 Waldorf MD 20603 | |
| (301) 638-5001 | |
| (301) 638-5003 |
| Full Name | Mendelis Mental Health Center |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 11315 Pembrooke Square Medical Center, Waldorf, Maryland |
| Authorized Official Name and Position | Peter Mendelis (OWNER) |
| Authorized Official Contact | 3016385001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mendelis Mental Health Center 11315 Pembrooke Square Medical Center Suite 112 Waldorf MD 20603 Ph: (301) 638-5001 | Mendelis Mental Health Center 11315 Pembrooke Square Medical Center Suite 112 Waldorf MD 20603 Ph: (301) 638-5001 |
| NPI Number | 1811001563 |
|---|---|
| Provider Enumeration Date | 08/19/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811001563 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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