Mentor Maryland

LBN: Mentor Maryland
Mentor Maryland is an health care organization with primary practice located at 5720 Executive Dr , Baltimore MD 21228-1757. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adolescent and Children Mental Health, which is considered as the primary health care specialty. Mentor Maryland can be contacted via phone (443) 543-2100, or through Matricardi, Edward via phone (443) 543-2101.

Contact Information

Primary practice address
5720 Executive Dr Baltimore MD 21228-1757
Phone: (443) 543-2100
Fax: (443) 543-2110
Website:
Map and Directions
Authorized official contact:
Name: Matricardi, Edward LCSW-C
Phone: (443) 543-2101

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X 2012 Maryland

Profile Details

NPI number 1518900364
LBN Legal business name Mentor Maryland
DBA Doing business as
Authorized official Matricardi, Edward LCSW-C
Entity Organization
Organization subpart 1 No
Enumeration date Jun 13th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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