Organization
NATIONAL MENTOR HEALTHCARE FLORIDA MENTOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT IAN COHEN (COO)
(800) 388-5150
Entity
Organization
Contact information
Practice address
2055 WOOD ST, STE. 118, SARASOTA, FL 34237-7903
(941) 955-2593
(941) 955-2684
Mailing address
313 CONGRESS ST, BOSTON, MA 02210-1218
(800) 388-5150
(617) 790-4271
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MH9929
FL
Other
Enumeration date
10/03/2014
Last updated
03/19/2023
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