| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MENTOR HEALTHCARE, INC | 1609933662 | 2007-01-02 |
The organization Mentor Healthcare, Inc is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1609933662. Registration indicates Mentor Healthcare, Inc 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 |
|---|---|---|
| 7223 S 71st Ln | Laveen, AZ 853392620 | 6022373916 |
| 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 | 2279
AZ |
| 156563 | MEDICAID | AZ |