| NPI | 1811193642 |
|---|---|
| Doing Business As | NC MENTOR |
| Entity Type | Organization |
| Authorized Contact | BRETT IAN COHEN COO 800-388-5150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| 253J00000X Foster Care Agency | |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2023-03-19 |