Organization
INDIANA MENTOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT IAN COHEN (COO)
(800) 388-5150
Entity
Organization
Contact information
Practice address
8925 N MERIDIAN ST STE 250, INDIANAPOLIS, IN 46260-5372
(317) 581-2380
Mailing address
313 CONGRESS ST, BOSTON, MA 02210-1218
(800) 388-5150
(617) 790-4271
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
—
—
Other
Enumeration date
07/14/2010
Last updated
03/19/2023
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