| North Carolina Mentor | |
|
1800 Saint Julian Pl Ste 200 Columbia SC 29204-2480 | |
| (800) 388-5150 | |
| Not Available |
| Full Name | North Carolina Mentor |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1800 Saint Julian Pl Ste 200, Columbia, South Carolina |
| Authorized Official Name and Position | Mary Patricia Rodenberg-roberts (VP & SR ASST GENERAL COUNSEL) |
| Authorized Official Contact | 9528362234 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Carolina Mentor 6600 France Ave S Ste 350 Edina MN 55435-1810 Ph: (800) 388-5150 | North Carolina Mentor 1800 Saint Julian Pl Ste 200 Columbia SC 29204-2480 Ph: (800) 388-5150 |
| NPI Number | 1003116237 |
|---|---|
| Provider Enumeration Date | 10/21/2010 |
| Last Update Date | 08/20/2024 |
| Certification Date | 08/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003116237 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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