NPI 1629396809

Mentoring the Future INC

Organisation Exclusive Provider Organization Severn, MD

Practice location

Address: 1816 Graybird CT, Severn, MD 21144-3130
Phone: (410) 481-4196
Mailing address: 1816 Graybird Court, Severn, MD 21144

Authorised official

Name: Cassandra Thompson
Title: President / Care Manager
Phone: (410) 841-4196

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 152825 (MD)

Other Exclusive Provider Organization providers in Maryland →

Registry record

NPI: 1629396809
Entity type: Organization
NPI issued: 12 May 2010
Record last updated: 12 May 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.