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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