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1750817912
MENTOR-MARYLAND
SALISBURY, MD
NPI
1750817912
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Entity Type
Organization
Authorized Contact
CAROL IVY SIMMONS
Director, Omhc
410-455-4600
Organization Subpart ?
No
Primary Taxonomy
251S00000X
(Licence: MD MH-1792)
Enumeration Date
2017-05-10
Last Update Date
2017-05-10
Business Address
MENTOR-MARYLAND
620 WEST NAYLOR MILL ROAD SUITE A-F
SALISBURY, MD 21801
Phone number: 410-548-5921
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Mailing Address
MENTOR-MARYLAND
5720 EXECUTIVE DRIVE
CATONSVILLE, MD 21228
Phone number: 410-455-4600
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