Organization
NATIONAL MENTOR HEALTHCARE, LLC
Active
Other names
North Carolina Mentor
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT IAN COHEN (COO)
(800) 388-5150
Entity
Organization
Contact information
Practice address
10 DEWITT ST, JACKSONVILLE, NC 28540-5649
(910) 219-3120
(910) 219-3241
Mailing address
313 CONGRESS ST, BOSTON, MA 02210-1218
(800) 388-5150
(617) 790-4271
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Enumeration date
04/29/2010
Last updated
03/05/2023
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