| Provider / Organization | NPI | Date Certified |
|---|---|---|
| NATIONAL MENTOR HEALTH CARE LLC | 1639236227 | 2023-05-14 |
The organization National Mentor Health Care Llc is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1639236227. Registration indicates National Mentor Health Care 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 |
|---|---|---|
| 9287 W Belvoir Rd | Phoenix, AZ 850374228 | 6233227937 |
| 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 | 2778
AZ |
| 103817 | MEDICAID | AZ |