Organization
MENTAL HEALTH AND MENTORING SERVICES OF MARYLAND, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAELE SAMUEL (CEO)
(301) 877-1200
Entity
Organization
Contact information
Practice address
7700 OLD BRANCH AVE STE E103, CLINTON, MD 20735-1628
(301) 877-1200
Mailing address
7700 OLD BRANCH AVE STE E103, CLINTON, MD 20735-1628
(301) 877-1200
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/25/2021
Last updated
06/25/2021
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