MENTOR ABI NPI 1649574252

NPI Information

  • NPI: 1649574252
  • Provider Name: MENTOR ABI
  • Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
  • Entity Type: Organization
  • Doing Business As: NEURORESTORATIVE WISCONSIN
  • Address: 5310 BUENA PARK RD
    WATERFORD, WI
    ZIP 53185
  • Phone: (262) 534-4864

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NPI Details

MENTOR ABI is a community based residential treatment facility mental illness in Waterford, WI. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. MENTOR ABI NPI is 1649574252. The provider is registered as an organization entity type.
The provider Is Doing Business As Neurorestorative Wisconsin.

The provider's business location address is:

5310 BUENA PARK RD
WATERFORD, WI
ZIP 53185-907
Phone: (262) 534-4864
Fax: (262) 546-0801

The provider's authorized official is Chris Cutler .
The authorized official title is Cfo and has the following contact phone number (618) 457-4729.

The enumeration date for this NPI number is 12/23/2010 and was last updated on 12/23/2010.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320800000XCommunity Based Residential Treatment Facility, Mental Illness0013091WISCONSINYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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