Organization
NATIONAL MENTOR HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT IAN COHEN CPA (COO)
(800) 388-5150
Entity
Organization
Contact information
Practice address
2900 MCGEHEE RD, MONTGOMERY, AL 36111-2151
(334) 280-3330
(334) 280-1007
Mailing address
2900 MCGEHEE RD, MONTGOMERY, AL 36111-2151
(334) 280-3330
(334) 280-1007
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
040905
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RTF0017H
—
AL
Enumeration date
10/28/2008
Last updated
03/05/2023
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