Organization
MENTOR ABI, LLC
Active
Other names
NeuroRestorative New Hampshire
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT IAN COHEN MBA (COO)
(800) 388-5150
Entity
Organization
Contact information
Practice address
6 KING RD, CHICHESTER, NH 03258-6533
(603) 798-3376
(603) 798-3748
Mailing address
639 GRANITE ST, BRAINTREE, MA 02184-5366
(781) 356-6330
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
—
—
311ZA0620X
Adult Care Home Facility
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/26/2009
Last updated
05/15/2023
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