| Mentor-maryland | |
|
4200 Forbes Boulevard Suite 100 Lanham MD 20706 | |
| (301) 459-3057 | |
| Not Available |
| Full Name | Mentor-maryland |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4200 Forbes Boulevard, Lanham, Maryland |
| Authorized Official Name and Position | Carol Ivy Simmons (DIRECTOR OMHC) |
| Authorized Official Contact | 4104554600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mentor-maryland 5720 Executive Drive Catonsville MD 21228 Ph: (410) 455-4600 | Mentor-maryland 4200 Forbes Boulevard Suite 100 Lanham MD 20706 Ph: (301) 459-3057 |
| NPI Number | 1023544285 |
|---|---|
| Provider Enumeration Date | 05/10/2017 |
| Last Update Date | 05/10/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023544285 | NPI | - | NPPES |
| 056668 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MH-2278 (Maryland) | Primary |
Diversified Treatment Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10104 Senate Dr, Suite 228, Lanham, MD 20706 Phone: 301-577-4920 Fax: 301-577-4940 | |
The One World Center For Autism, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7401 Forbes Blvd Ste A, Lanham, MD 20706 Phone: 301-618-8395 Fax: 301-618-8396 | |
Grace Inspire Behavioral Health Care Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 9103 Woodmore Center Dr # 412, Lanham, MD 20706 Phone: 240-361-9242 Fax: 240-361-9255 | |
You First Health Systems, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4325 Forbes Blvd Ste E, Lanham, MD 20706 Phone: 301-329-0177 | |
Karia Home Health Consulting, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7404 Executive Pl Ste 400, Lanham, MD 20706 Phone: 240-639-4430 | |
Interdynamics, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4601 Forbes Blvd, Lanham, MD 20706 Phone: 301-306-4590 Fax: 301-306-4591 | |
Affiliated Sante Group Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4355 Nicole Dr, Lanham, MD 20706 Phone: 301-429-2171 |