| NPI | 1972667004 |
|---|---|
| Doing Business As | PENNSYLVANIA MENTOR |
| Entity Type | Organization |
| Authorized Contact | BRETT IAN COHEN COO 800-388-5150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: PA 105910) |
| Additional Taxonomies | 251300000X Local Education Agency (LEA) |
| 251S00000X (Licence: PA 201400) | |
| 251S00000X | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 251S00000X (Licence: PA 200940) | |
| 251S00000X (Licence: PA 465190) | |
| 251S00000X (Licence: PA 354900) | |
| 251S00000X (Licence: PA 0013499739-0010) | |
| 251S00000X (Licence: PA 201020) | |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2023-03-19 |