NPI | 1295115475 |
---|---|
Doing Business As | NEW JERSEY 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 |
Enumeration Date | 2015-06-03 |
Last Update Date | 2023-03-05 |