Organization
NJ MENTOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT IAN COHEN (COO)
(800) 388-5150
Entity
Organization
Contact information
Practice address
80 COTTONTAIL LN STE 330, SOMERSET, NJ 08873-1100
(732) 627-9890
Mailing address
80 COTTONTAIL LN STE 330, SOMERSET, NJ 08873-1100
(857) 205-6325
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
05/14/2020
Last updated
03/12/2023
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