Organization
NATIONAL MENTOR HEALTHCARE INC
Active
Organization
NATIONAL MENTOR HEALTHCARE INC
Active
Other names
Oklahoma MENTOR
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT IAN COHEN (COO)
(800) 388-5150
Entity
Organization
Contact information
Practice address
7615 E 63RD PL, THREE MEMORIAL PLACE, SUITE 130, TULSA, OK 74133-1244
(918) 254-6748
Mailing address
313 CONGRESS ST, BOSTON, MA 02210-1218
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
376J506
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100630280 A
—
OK
05
—
100630280 B
—
OK
05
—
100630280 C
—
OK
05
—
100630280 D
—
OK
05
—
100630280 E
—
OK
05
—
100630280 F
—
OK
05
—
100630280 G
—
OK
05
—
100630280 H
—
OK
05
—
100630280 I
—
OK
05
—
100630280 J
—
OK
05
—
100630280 K
—
OK
Enumeration date
05/11/2007
Last updated
03/05/2023
Update your record
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