| Organization Name: | MENTOR ABI, LLC D/B/A NEURORESTORATIVE INDIANA |
| NPI Number: | 1669746038 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHRIS WILLIAMSON (REGIONAL VP FOR THE CENTRAL DIV) |
| Mailing Address: | 2020 S Arlington Ave Indianapolis |
| State: | IN US |
| Postal Code: | 462035005 |
| Phone Number: | 6185293060 |
| Fax Number: | 6185298119 |
| NPI Enumeration Date: | 03/02/2012 |
| NPI Last Update Date: | 03/02/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 283X00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | Rehabilitation Hospital |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity. |