| Mentor-maryland | |
|
1540 Caton Center Drive Halethorpe MD 21227 | |
| (410) 737-4200 | |
| Not Available |
| Full Name | Mentor-maryland |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1540 Caton Center Drive, Halethorpe, Maryland |
| Authorized Official Name and Position | Ivy Simmons (DIRECTOR OF 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 1540 Caton Center Drive Halethorpe MD 21227 Ph: (410) 737-4200 |
| NPI Number | 1588190748 |
|---|---|
| Provider Enumeration Date | 05/10/2017 |
| Last Update Date | 05/10/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588190748 | NPI | - | NPPES |
| 056668 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MH-1757 (Maryland) | Primary |
Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: Kaiser Permanente-south Baltimore, 1701 Twin Springs Road, Halethorpe, MD 21227 Phone: 410-737-5000 Fax: 443-263-7381 | |
Bright Horizons Behavioral Health Incorporated Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3531 Washington Blvd Ste 220-224, Halethorpe, MD 21227 Phone: 410-204-8971 Fax: 888-760-4333 | |
Wye Oak Clinic, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1937 Lansdowne Rd, Halethorpe, MD 21227 Phone: 410-536-0555 Fax: 410-536-0231 | |
Groundwork Behavioral Health Services Corp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4713-4715 Leeds Ave., Halethorpe, MD 21227 Phone: 410-831-1331 | |
Optimum Support Services Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1740 Twin Springs Rd Ste A-d, Halethorpe, MD 21227 Phone: 443-618-4344 | |
Resolution Health And Wellness Center, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1401 S Edgewood St Ste 100, Halethorpe, MD 21227 Phone: 410-275-0928 Fax: 410-701-2577 | |
M & M Mental Health And Wellness Clinic Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 122 Waelchli Ave, Halethorpe, MD 21227 Phone: 443-845-4269 |