NPI | 1487779823 |
---|---|
Doing Business As | NEW JERSEY MENTOR |
Entity Type | Organization |
Authorized Contact | BRETT IAN COHEN COO 800-388-5150 |
Organization Subpart ? | No |
Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Additional Taxonomies | 251S00000X |
Enumeration Date | 2007-03-21 |
Last Update Date | 2023-03-12 |