Organization
MENTIS MANAGEMENT LLC
Active
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
628 CENTRE ST STE A, DALLAS, TX 75208-6328
(800) 388-5150
Mailing address
6600 FRANCE AVE S STE 350, EDINA, MN 55435-1810
(952) 922-6776
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
—
—
Other
Enumeration date
08/08/2024
Last updated
08/08/2024
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