Nj Mentor

NPI 1053570135 - Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities - 320600000X

NPI Details
NPI 1053570135
Enumeration Date 06/04/2008
Last Updated 06/04/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name LAUREN LAUREN
Position NJ/DE STATE ACCOUNTING MANAGER
Phone (732) 627-9890
Fax (732) 627-8412
Practice Location
80 COTTONTAIL LN
SUITE 330
SOMERSET NJ, 08873-1100, US
Phone (732) 627-9890
Fax (732) 627-8412
Business Location
80 COTTONTAIL LN
SUITE 330
SOMERSET NJ, 08873-1100, US
Phone (732) 627-9890
Fax (732) 627-8412
Toxanomy
Taxonomy Code 320600000X
License State
License Number
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According to our database, Nj Mentor NPI is 1053570135, taxonomy code is 320600000X Nj Mentor physically located at 80 Cottontail Ln, Somerset NJ, 08873-1100. NPI Number 1033115704 has the healthcare provider type.

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1053570135 NPI number is provided on an as is basis without warranty of any kind. 1053570135 is maintained by the National Plan & Provider Enumeration System. The contents of Nj Mentor are for informational purposes only.