| NPI | 1013093616 |
|---|---|
| Doing Business As | FLORIDA MENTOR |
| Entity Type | Organization |
| Authorized Contact | BRETT IAN COHEN COO 800-388-5150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: FL 4060096) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2023-03-04 |