NPI | 1871655746 |
---|---|
Other Name | FLORIDA 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 (Licence: FL 4067096) |
Enumeration Date | 2006-12-15 |
Last Update Date | 2023-03-19 |