Organization
NATIONAL MENTOR HEALTHCARE, LLC
Active
Parent organization
NATIONAL MENTOR HEALTHCARE LLC, D.B.A. PENNSYLVANIA MENTOR
Other names
Pennsylvania Mentor
Organization subpart
Yes
Provider details
NPI number
Legal business name
NATIONAL MENTOR HEALTHCARE LLC, D.B.A. PENNSYLVANIA MENTOR
Authorized official
BRETT IAN COHEN (COO)
(800) 388-5150
Entity
Organization
Contact information
Practice address
450 PARKWAY STE 200, BROOMALL, PA 19008-4202
(484) 868-5813
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
—
—
Other
Enumeration date
03/30/2021
Last updated
03/19/2023
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