# NATIONAL MENTOR HEALTHCARE NETWORK

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- **Entity:** Organization
- **Status:** Active
- **Other names:** New Jersey MENTOR
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104335298
- **Authorized official:** BRETT IAN COHEN (COO)
- **Authorized official phone:** (800) 388-5150

## Contact information

- **Practice address:** 2301 ATCO AVE, ATCO, NJ 08004-1714
- **Practice address phone:** (732) 627-9890
- **Mailing address:** 80 COTTONTAIL LN STE 330, SOMERSET, NJ 08873-1100
- **Mailing address phone:** (732) 627-9890

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320800000X | Mental Illness Community Based Residential Treatment Facility | — | NULL | — |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 09/21/2017
- **Last updated:** 03/04/2023