Organization
MENTOR ABI, LLC
Active
Other names
NeuroRestorative Massachusetts, Braintree
Organization subpart
No
Provider details
NPI number
Authorized official
SERGIO P CRUZ (CFO)
(781) 708-9444
Entity
Organization
Contact information
Practice address
1107 MIDDLE ST, WEYMOUTH, MA 02190-1819
(781) 708-9444
Mailing address
980 WASHINGTON ST STE 306, DEDHAM, MA 02026-6797
(781) 708-9444
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1901702
—
MA
Enumeration date
04/04/2007
Last updated
12/12/2018
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