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
4035 UNIVERSITY PKWY, SUITE 101, WINSTON SALEM, NC 27106-3276
(336) 397-1560
(336) 397-1566
Mailing address
313 CONGRESS ST, BOSTON, MA 02210-1218
(800) 388-5150
(617) 790-4271
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Enumeration date
10/28/2011
Last updated
03/12/2023
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