| NPI | 1023573912 |
|---|---|
| Doing Business As | NEW JERSEY MENTOR |
| Entity Type | Organization |
| Authorized Contact | BRETT IAN COHEN COO 800-388-5150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2019-02-05 |
| Last Update Date | 2023-03-04 |