| Nj Mentor | |
|
80 Cottontail Ln Suite 330 Somerset NJ 08873-1100 | |
| (732) 627-9892 | |
| (732) 569-6780 |
| Full Name | Nj Mentor |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 80 Cottontail Ln, Somerset, New Jersey |
| 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 |
|---|---|
| Nj Mentor 80 Cottontail Ln Suite 330 Somerset NJ 08873-1100 Ph: (732) 627-9892 | Nj Mentor 80 Cottontail Ln Suite 330 Somerset NJ 08873-1100 Ph: (732) 627-9892 |
| NPI Number | 1396023768 |
|---|---|
| Provider Enumeration Date | 08/02/2011 |
| Last Update Date | 03/12/2023 |
| Certification Date | 03/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396023768 | NPI | - | NPPES |
| 0252531 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (New Jersey) | Primary |
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