Organization
NATIONAL MENTOR HEALTHCARE, LLC
Active
Parent organization
NATIONAL MENTOR HEALTHCARE, LLC
Other names
Arizona Mentor
Organization subpart
Yes
Provider details
NPI number
Legal business name
NATIONAL MENTOR HEALTHCARE, LLC
Authorized official
MARIANNA MOORE (REGIONAL DIRECTOR)
(602) 567-4919
Entity
Organization
Contact information
Practice address
9007 W DEANNA DR, PEORIA, AZ 85382-2418
(602) 200-9494
(602) 567-2062
Mailing address
2700 N 3RD ST, SUITE 4000, PHOENIX, AZ 85004-1129
(602) 200-9494
(602) 567-2062
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/11/2014
Last updated
11/11/2014
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