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Organization
NATIONAL MENTOR HEALTHCARE, LLC
Active
Organization
NATIONAL MENTOR HEALTHCARE, LLC
Active
Other names
dba NC MENTOR
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT IAN COHEN (COO)
(800) 388-5150
Entity
Organization
Contact information
Practice address
8604 CLIFF CAMERON DRIVE, SUITE 170, CHARLOTTE, NC 28269-8508
(704) 594-9837
(704) 594-9575
Mailing address
313 CONGRESS ST, BOSTON, MA 02210-1218
(800) 388-5150
(617) 790-4271
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
251K00000X
Public Health or Welfare Agency
—
NC
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8301529
—
NC
Enumeration date
02/20/2007
Last updated
03/12/2023
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