Organization
NATIONAL MENTOR HEALTCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT IAN COHEN MA (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
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0493163
—
NJ
Enumeration date
10/06/2017
Last updated
03/19/2023
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