National Mentor Healthcare Llc, D.b.a. PA Mentor
NPI #1487060638 in Conshohocken, Pennsylvania
Provider Information
- NPI Number
- 1487060638
- Entity Type
- Organization
- Organization Name
- National Mentor Healthcare Llc, D.b.a. PA Mentor
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Jul 9, 2014
- Last Updated
- Mar 12, 2023
Practice Location
- Address
- 625 W RIDGE PIKE
- Address 2
- BLDG B, SUITE 102
- City
- Conshohocken
- State
- Pennsylvania
- ZIP Code
- 19428-1180
- Phone
- (866) 271-1802
Authorized Official
- Name
- BRETT IAN COHEN
- Title
- COO
- Phone
- (800) 388-5150
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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