| Provider / Organization | NPI | Date Certified |
|---|---|---|
| NATIONAL MENTOR HEALTHCARE, LLC | 1558510719 | 2008-09-12 |
The organization National Mentor Healthcare, Llc is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1558510719. Registration indicates National Mentor Healthcare, Llc is a provider of access to mental health/behavioral health/substance use disorder facility services with a specialization in Residential Treatment Facilities, Community Based Residential Treatment Facility, Mental Illness (Residential Treatment Facilities, Community Based Residential Treatment Facility, Mental Illness) (Community Based Residential Treatment Facility, Mental Illness, ) (Community Based Residential Treatment Facility, Mental Illness, Residential Treatment Facilities)
| Address | City / State | Phone / Fax |
|---|---|---|
| 2700 N 3rd St Ste 4000 | Phoenix, AZ 850041173 | 6022009494 |
| Code | Practice | License No State |
|---|---|---|
| 320800000X PRIMARY | Access to Mental Health/Behavioral Health/Substance Use Disorder Facility Residential Treatment Facilities Community Based Residential Treatment Facility, Mental Illness Residential Treatment Facilities Community Based Residential Treatment Facility, Mental Illness Community Based Residential Treatment Facility, Mental Illness Community Based Residential Treatment Facility, Mental Illness Residential Treatment Facilities | BH 3163
AZ |
| 434135 | MEDICAID | AZ |