Organization
NATIONAL MENTOR HEALTHCARE, LLC
Active
Other names
NORTH CAROLINA MENTOR
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT IAN COHEN (COO)
(800) 388-5150
Entity
Organization
Contact information
Practice address
2343 HWY 24/27, BISCOE, NC 27209-9580
(919) 790-8580
(919) 341-0231
Mailing address
313 CONGRESS ST, BOSTON, MA 02210-1218
(800) 388-5150
(617) 790-4271
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/03/2010
Last updated
03/19/2023
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