Organization
NATIONAL MENTOR SERVICES LLC
Active
Organization
NATIONAL MENTOR SERVICES LLC
Active
Other names
Kansas MENTOR
Organization subpart
No
Provider details
NPI number
Authorized official
DORIS DAVILA (EXECUTIVE DIRECTOR)
(512) 326-8866
Entity
Organization
Contact information
Practice address
1503 E FULTON TER, GARDEN CITY, KS 67846-6165
(620) 272-0499
(620) 272-0599
Mailing address
1110 W WILLIAM CANNON DR, #500, AUSTIN, TX 78745-5468
(512) 326-8866
(512) 326-4102
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
0056897-003
KS
251S00000X
Community/Behavioral Health Agency
0056897-003
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07953
CONTRACT NUMBER
KS
Enumeration date
06/21/2007
Last updated
09/11/2025
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