MENDELIS MENTAL HEALTH CENTER; NPI #1811001563

Contact Information

MENDELIS MENTAL HEALTH CENTER

11315 PEMBROOKE SQUARE MEDICAL CENTER
SUITE 112
WALDORF, MD 20603

Phone: 301-638-5001
Fax: 301-638-5003
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Mental Health (Including Community Mental Health Center)	261QM0801X	B4[14]	Community Mental Health Center

Indicates primary specialty

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NPI Profile & details for MENDELIS MENTAL HEALTH CENTER

NPI #	`1811001563`
LBN Legal business name	MENDELIS MENTAL HEALTH CENTER
Authorized official	PETER MENDELIS - (OWNER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	08/19/2006
Last updated	08/22/2020 - About 6 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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