Organization
NATIONAL MENTOR HEALTHCARE, LLC
Active
Parent organization
NATIONAL MENTOR, LLC
Other names
California MENTOR
Organization subpart
Yes
Provider details
NPI number
Legal business name
NATIONAL MENTOR, LLC
Authorized official
BRETT IAN COHEN (COO)
(800) 388-5150
Entity
Organization
Contact information
Practice address
9166 ANAHEIM PL STE 200, RANCHO CUCAMONGA, CA 91730-8547
(909) 483-2505
Mailing address
9166 ANAHEIM PL STE 200, RANCHO CUCAMONGA, CA 91730-8547
(909) 483-2505
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
CA
Other
Enumeration date
08/01/2013
Last updated
03/05/2023
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