| Advantage Mentor Group | |
|
12 Carol St Albany NY 12205-3802 | |
| (518) 944-0130 | |
| Not Available |
| Full Name | Advantage Mentor Group |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 12 Carol St, Albany, New York |
| Authorized Official Name and Position | Tammy L. Allen (CEO) |
| Authorized Official Contact | 5189440130 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advantage Mentor Group 12 Carol Street Albany NY 12205 Ph: (518) 944-0130 | Advantage Mentor Group 12 Carol St Albany NY 12205-3802 Ph: (518) 944-0130 |
| NPI Number | 1053602326 |
|---|---|
| Provider Enumeration Date | 04/21/2011 |
| Last Update Date | 04/21/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053602326 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (NU) | Primary |
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