Organization
THE MENTORING CENTER, INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD F. WILSON (EXECUTIVE DIRECTOR)
(678) 571-1918
Entity
Organization
Contact information
Practice address
1715 DIVISION AVE, WEST PALM BEACH, FL 33407-6284
(678) 571-1918
Mailing address
950 EVERNIA ST, 315, WEST PALM BEACH, FL 33401-5735
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
01/11/2013
Last updated
01/11/2013
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