NATIONAL MENTOR HEALTHCARE LLC NPI 1689098030

NPI Information

NATIONAL MENTOR HEALTHCARE LLC is a community based residential treatment facility mental illness in Phoenix, AZ. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. NATIONAL MENTOR HEALTHCARE LLC NPI is 1689098030. The provider is registered as an organization entity type.
The provider Is Doing Business As Dba Arizona Mentor.

The provider's business location address is:

3838 N CENTRAL AVE STE 1200
PHOENIX, AZ
ZIP 85012-997
Phone: (480) 646-6175
Fax: (617) 790-4271

The provider's authorized official is Brett Ian Cohen .
The authorized official title is Coo and has the following contact phone number (800) 388-5150.

The CLIA number assigned to this NPI record is 03D0979737 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/5/2014 and was last updated on 5/14/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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