NEW JERSEY MENTOR
NPI 1972972164
Residential Treatment Facility, Emotionally Disturbed Children in Bethlehem Township, NJ
- Organization
- Residential Treatment Facility, Emotiona...
About NEW JERSEY MENTOR
This page provides the complete NPI Profile along with additional information for New Jersey Mentor, a provider established in Bethlehem Township, New Jersey operating as a Residential Treatment Facility, Emotionally Disturbed Children. The healthcare provider is registered in the NPI registry with number 1972972164 assigned on September 2015. The practitioner's primary taxonomy code is 322D00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as New Jersey Mentor. The authorized official of this NPI record is Brett Ian Cohen (Coo)
- NPI
- 1972972164 Verify this NPI
- Provider Legal Name
- NATIONAL MENTOR HEALTHCARE, LLC
- Other Organization Name
- NEW JERSEY MENTOR
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 509 MINE ROAD BETHLEHEM TOWNSHIP, NJ 08802
- Location Phone
- (732) 627-9890
- Location Fax
- (732) 563-6780
- Mailing Address
- 80 COTTONTAIL LN SUITE 330 SOMERSET, NJ 08873
- Mailing Phone
- (732) 627-9890
- Mailing Fax
- (732) 563-6780
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-18-2015
- Last Update Date
- 03-19-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Residential Treatment Facility, Emotionally Disturbed Children
- Taxonomy Code
- 322D00000X
- Type
- Residential Treatment Facilities
- Taxonomy Description
- A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1972972164, enumerated as an "organization" on September 18, 2015.
The provider is located at 509 MINE ROAD BETHLEHEM TOWNSHIP, NJ 08802 and the phone number is (732) 627-9890.
Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.
