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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