Organization
NATIONAL MENTOR HEALTHCARE, INC.
Active
Other names
Family Advocacy Services of Virginia
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT IAN COHEN (COO)
(800) 388-5150
Entity
Organization
Contact information
Practice address
8540 CINDER BED ROAD, SUITE 1700, NEWINGTON, VA 22122
(703) 339-7299
(703) 339-5326
Mailing address
313 CONGRESS ST, BOSTON, MA 02210-1218
(800) 388-5150
(617) 790-4271
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
CO-06-125
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000200603
—
VA
Enumeration date
09/28/2006
Last updated
03/05/2023
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