| NPI | 1083073209 |
|---|---|
| Doing Business As | CA MENTOR |
| Entity Type | Organization |
| Authorized Contact | MARY PATRICIA RODENBERG-ROBERTS VP & Sr. Asst General Counsel 952-836-2234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2016-02-16 |
| Last Update Date | 2024-05-08 |