Ohio Mentor, INC

NPI #1487191656 in Independence, Ohio

Provider Information

NPI Number: 1487191656
Entity Type: Organization
Organization Name: Ohio Mentor, INC
Primary Specialty: Foster Care Agency
Enumeration Date: Jan 26, 2017
Last Updated: Jan 26, 2017

Practice Location

Address: 6200 ROCKSIDE WOODS BLVD N
Address 2: SUITE 305
City: Independence
State: Ohio
ZIP Code: 44131-2333
Phone: (440) 525-1885

Authorized Official

Name: MR. DUANE MICHAEL DUKLES, LPCC-S
Title: CLINICAL SUPERVISOR
Phone: (216) 318-6461

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Foster Care Agency	253J00000X	Primary

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