| New Jersey Mentor | |
|
80 Cottontail Ln Suite 330 Somerset NJ 08873-1100 | |
| (732) 627-9890 | |
| (732) 563-6780 |
| Full Name | New Jersey Mentor |
|---|---|
| Speciality | Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
| Location | 80 Cottontail Ln, Somerset, New Jersey |
| Authorized Official Name and Position | Brett Ian Cohen (COO) |
| Authorized Official Contact | 8003885150 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Jersey Mentor 80 Cottontail Ln Suite 330 Somerset NJ 08873-1100 Ph: (732) 627-9890 | New Jersey Mentor 80 Cottontail Ln Suite 330 Somerset NJ 08873-1100 Ph: (732) 627-9890 |
| NPI Number | 1487779823 |
|---|---|
| Provider Enumeration Date | 03/21/2007 |
| Last Update Date | 03/12/2023 |
| Certification Date | 03/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487779823 | NPI | - | NPPES |
| 0252531 | Medicaid | NJ | |
| 8884803 | Medicaid | NJ |
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