| NPI | 1922560879 |
|---|---|
| Doing Business As | CALIFORNIA MENTOR |
| Entity Type | Organization |
| Authorized Contact | MARY PATRICIA RODENBERG-ROBERTS Vice President & Senior Asst Genera 952-836-2234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2024-05-24 |