Organization
MENTIS ADULT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DJEMS MBANZA KWEMBE B.ED (CHIEF OPERATING OFFICER)
(603) 820-3216
Entity
Organization
Contact information
Practice address
463 BEECH ST APT 1, MANCHESTER, NH 03103-6295
(603) 506-7437
Mailing address
463 BEECH ST APT 1, MANCHESTER, NH 03103-6295
(603) 506-7437
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/25/2025
Last updated
03/25/2025
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