| NPI | 1427246669 |
|---|---|
| Other Name | THE MENTOR NETWORK |
| Entity Type | Organization |
| Authorized Contact | MARY LYNAM State Director 314-427-7915 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Enumeration Date | 2007-10-12 |
| Last Update Date | 2007-10-12 |