| National Mentor Healthcare, Llc | |
|
204 26th St Opelika AL 36801-6234 | |
| (334) 704-8877 | |
| Not Available |
| Full Name | National Mentor Healthcare, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 204 26th St, Opelika, Alabama |
| Authorized Official Name and Position | Brett Ian Cohen (COO) |
| Authorized Official Contact | 8003885150 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| National Mentor Healthcare, Llc 204 26th St Opelika AL 36801-6234 Ph: (334) 704-8877 | National Mentor Healthcare, Llc 204 26th St Opelika AL 36801-6234 Ph: (334) 704-8877 |
| NPI Number | 1780397000 |
|---|---|
| Provider Enumeration Date | 01/02/2023 |
| Last Update Date | 03/19/2023 |
| Certification Date | 03/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780397000 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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