Organization
NATIONAL MENTOR HEALTHCARE, LLC
Active
Other names
FLorida Mentor
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT IAN COHEN (COO)
(800) 388-5150
Entity
Organization
Contact information
Practice address
8290 COLLEGE PKWY, SUITE 202, FORT MYERS, FL 33919-5124
(239) 466-2000
(239) 466-0640
Mailing address
313 CONGRESS ST, BOSTON, MA 02210-1218
(800) 388-5150
(617) 790-4271
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
766155000
—
FL
Enumeration date
01/03/2007
Last updated
03/04/2023
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