| NPI | 1699040584 |
|---|---|
| Former Legal Business Name | MENTOR PLUS |
| Entity Type | Organization |
| Authorized Contact | BRIAN GOODWIN HAMPTON CEO/ Director Of Operations 888-986-5646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2012-03-12 |
| Last Update Date | 2012-03-12 |