MENTOR-MARYLAND

LANHAM, MD
NPI1023544285
Entity TypeOrganization
Authorized ContactCAROL IVY SIMMONS
Director Omhc
410-455-4600
Organization Subpart ?No
Primary Taxonomy251S00000X 
(Licence: MD  MH-2278)
Enumeration Date2017-05-10
Last Update Date2017-05-10
Business Address
MENTOR-MARYLAND
4200 FORBES BOULEVARD SUITE 100
LANHAM, MD 20706
Phone number: 301-459-3057
Mailing Address
MENTOR-MARYLAND
5720 EXECUTIVE DRIVE
CATONSVILLE, MD 21228
Phone number: 410-455-4600
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