Organization
MENTORS OF AMERICA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN ELLIS (DIRECTOR OF CLIENT SERVICES)
(866) 819-4662
Entity
Organization
Contact information
Practice address
10475 CROSSPOINT BLVD, 250, INDIANAPOLIS, IN 46256-3386
(866) 819-4662
(866) 819-4662
Mailing address
10475 CROSSPOINT BLVD, 250, INDIANAPOLIS, IN 46256-3386
(866) 819-4662
(866) 819-4662
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/04/2015
Last updated
03/04/2015
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