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Organization
MENTUS BEHAVIORAL HEALTH LLC
Active
Organization
MENTUS BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUIS EMILIO BETANCOURT MD (CHIEF MEDICAL OFFICER)
(704) 770-7027
Entity
Organization
Contact information
Practice address
12651 MCGREGOR BLVD STE 301, FORT MYERS, FL 33919-4488
(704) 770-7027
Mailing address
12651 MCGREGOR BLVD STE 301, FORT MYERS, FL 33919-4488
(704) 770-7027
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
NULL
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
Other
Enumeration date
03/02/2022
Last updated
08/15/2022
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