Organization
MENTOR ABI, LLC
Active
Other names
NeuroRestorative Maine
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT IAN COHEN (COO)
(800) 388-5150
Entity
Organization
Contact information
Practice address
986 SEBAGO RD, SEBAGO, ME 04029-3814
(207) 787-2162
(207) 787-2246
Mailing address
313 CONGRESS ST, BOSTON, MA 02210-1218
(800) 388-5150
(617) 790-4271
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/02/2010
Last updated
05/15/2023
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