Organization
NATIONAL MENTOR HEALTHCARE LLC
Active
Other names
PENNSYLVANIA MENTOR
Organization subpart
No
Provider details
NPI number
Authorized official
MARY PATRICIA RODENBERG-ROBERTS (VP & SR ASST GENERAL COUNSEL)
(952) 836-2234
Entity
Organization
Contact information
Practice address
450 PARKWAY, SUITE 204, BROOMALL, PA 19008-4202
(610) 353-5332
(610) 353-2814
Mailing address
6600 FRANCE AVE S STE 350, EDINA, MN 55435-1810
(800) 388-5150
(617) 790-4271
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
—
—
251S00000X
Community/Behavioral Health Agency
0013499739-0010
PA
251S00000X
Community/Behavioral Health Agency
Primary
105910
PA
251S00000X
Community/Behavioral Health Agency
200940
PA
251S00000X
Community/Behavioral Health Agency
201020
PA
251S00000X
Community/Behavioral Health Agency
201400
PA
251S00000X
Community/Behavioral Health Agency
354900
PA
251S00000X
Community/Behavioral Health Agency
465190
PA
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
12/21/2006
Last updated
02/03/2026
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