| NPI | 1114152394 |
|---|---|
| Doing Business As | ARIZONA MENTOR |
| Entity Type | Organization |
| Authorized Contact | BRETT IAN COHEN COO 800-388-5150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: AZ CSA09ADHS0181) |
| Enumeration Date | 2009-05-18 |
| Last Update Date | 2023-05-14 |