Organization
NATIONAL MENTOR HEALTHCARE,LLC
Active
Other names
LOUISIANA MENTOR
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT IAN COHEN (COO)
(800) 388-5150
Entity
Organization
Contact information
Practice address
1890 HUDSON CIR, SUITE 12, MONROE, LA 71201-3538
(318) 410-8823
Mailing address
313 CONGRESS ST, BOSTON, MA 02210-1218
(617) 790-4800
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
13051
LA
Other
Enumeration date
06/09/2010
Last updated
03/19/2023
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