Organization
NATIONAL MENTOR HEALTHCARE, LLC
Active
Other names
NJ MENtor
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, SUITE 330, SOMERSET, NJ 08873-1100
(732) 627-9890
(732) 563-6780
Mailing address
80 COTTONTAIL LN, SUITE 330, SOMERSET, NJ 08873-1100
(732) 627-9890
(732) 563-6780
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0421596
—
NJ
Enumeration date
06/04/2008
Last updated
03/19/2023
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