institution
Mentor Maryland
Adolescent and Children Mental Health Clinic/Center in Baltimore, Maryland
NPI 1518900364

Mentor Maryland is an Adolescent and Children Mental Health Clinic/Center based in Baltimore, MD and is specialized in Adolescent and Children Mental Health. Mentor Maryland practices in Baltimore, MD. The NPI Number for Mentor Maryland is 1518900364 and holds a License No. 2012 (Maryland).

The current practice location address for Mentor Maryland is 5720 Executive Dr, Baltimore, MD and can be reached out via phone at 443-543-2100 and via fax at 443-543-2110.

Location: 5720 Executive Dr, Baltimore, MD, 21228-1757
institution
Provider Profile Details
NPI Number
1518900364
Provider Name
Mentor Maryland
Credential
Provider Entity Type
Organization
Address
5720 Executive Dr, Baltimore, MD, 21228-1757
Phone Number
443-543-2100
Fax Number
443-543-2110
Provider Enumeration Date
06/13/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
5720 Executive Dr
City
State
Zip
21228-1757
Phone Number
443-543-2100
Fax Number
443-543-2110
person
Provider Business Mailing Address Details
Address
5720 Executive Dr
City
State
Zip
21228-1757
Phone Number
443-543-2100
Fax Number
443-543-2110
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
License No.
2012 (Maryland)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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