Organization
NATIONAL MENTOR HEALTHCARE LLC.
Active
Parent organization
NATIONAL MENTOR HEALTHCARE LLC.
Other names
Creative Home Programs
Organization subpart
Yes
Provider details
NPI number
Legal business name
NATIONAL MENTOR HEALTHCARE 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) 948-7499
Mailing address
9166 ANAHEIM PL STE 200, RANCHO CUCAMONGA, CA 91730-8547
(909) 948-7499
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/15/2016
Last updated
03/05/2023
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