Organization
NATIONAL MENTOR HEALTHCARE, LLC
Active
Other names
NH Mentor
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT IAN COHEN (COO)
(800) 388-5150
Entity
Organization
Contact information
Practice address
350 HARVEY RD, UNIT A-03-L, MANCHESTER, NH 03103-3373
(603) 622-3421
(603) 623-0972
Mailing address
280 BRIDGE ST, SUITE 230, DEDHAM, MA 02026-1759
(781) 326-4207
(781) 326-4654
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
68561
NH
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30855006
—
NH
01
—
820000748
TRADING PARTNERS ID
NH
Enumeration date
01/17/2008
Last updated
03/19/2023
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