Organization
NATIONAL MENTOR HEALTHCARE, LLC.
Active
Other names
NC MENTOR
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT IAN COHEN (COO)
(800) 388-5150
Entity
Organization
Contact information
Practice address
3125 POPLARWOOD CT, SUITE 300, RALEIGH, NC 27604-1084
(919) 790-8580
(919) 790-8065
Mailing address
313 CONGRESS ST, BOSTON, MA 02210-1218
(800) 388-5150
(617) 790-4271
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3408668
—
NC
Enumeration date
01/05/2007
Last updated
03/05/2023
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