Organization Name: | NATIONAL MENTOR HEALTHCARE LLC |
NPI Number: | 1114062049 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SCOTT MARTIN (STATE DIRECTOR) |
Mailing Address: | 2202 Fayetteville Rd Rockingham |
State: | NC US |
Postal Code: | 283794046 |
Phone Number: | 9197908580 |
Fax Number: | 9197908065 |
NPI Enumeration Date: | 02/20/2007 |
NPI Last Update Date: | 02/24/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |