Organization
MENTOR ABI, LLC
Active
Other names
NeuroRestorative Indiana
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER WILLIAMSON (VICE PRESIDENT OPERATIONS)
(618) 529-3060
Entity
Organization
Contact information
Practice address
3201 DAVIS RD, INDIANAPOLIS, IN 46239-9305
(618) 529-3060
(618) 529-8119
Mailing address
PO BOX 2825, CARBONDALE, IL 62902-2825
(618) 529-3060
(618) 529-8119
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
—
—
Other
Enumeration date
10/02/2014
Last updated
10/02/2014
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