Organization
MENTIS MANAGEMENT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY PATRICIA RODENBERG-ROBERTS (VICE PRES & SR. ASST GC)
(952) 836-2234
Entity
Organization
Contact information
Practice address
1121 ESE LOOP323 STE 207, TYLER, TX 75701-9659
(214) 295-5374
Mailing address
980 WASHINGTON ST, DEDHAM, MA 02026-6731
(781) 708-9444
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Enumeration date
09/28/2022
Last updated
03/20/2024
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