Organization
MENTOR ABI, LLC
Active
Organization
MENTOR ABI, LLC
Active
Other names
NeuroRestorative North Carolina
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAN DUELL (BUSINESS DIRECTOR)
(813) 626-1444
Entity
Organization
Contact information
Practice address
3601 WINDEMERE PL, RALEIGH, NC 27604-5961
(202) 425-6757
Mailing address
10150 HIGHLAND MANOR DR, SUITE 140, TAMPA, FL 33610-9713
(813) 626-1444
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
283X00000X
Rehabilitation Hospital
Primary
—
—
Other
Enumeration date
06/27/2014
Last updated
10/03/2019
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