Organization · Type 2 NPI

Mentor Abi, LLC

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Chichester, NH

NPI number 1386879096 Active

Practice location

6 King Rd
Chichester, NH 03258-6533

Call (603) 798-3376 Map

Fax (603) 798-3748

Mailing address

639 Granite St
Braintree, MA 02184-5366

Specialties and licenses

Taxonomy	Code	License
Rehabilitation Hospital	283X00000X	None listed
Adult Care Home Facility	311ZA0620X	None listed
Mental Illness Community Based Residential Treatment Facility	320800000X	None listed
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary	320900000X	None listed

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

NPI record

NPI: 1386879096
Entity type: Organization (Type 2)
Issued: May 26, 2009
Last updated: May 15, 2023
Status: Active

Other names

<unavail>
Neurorestorative New Hampshire · doing business as
Neurorestorative New Hampshire · doing business as

Authorized official

Brett Ian Cohen, MBA
COO
(800) 388-5150

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1386879096

Mentor Abi, LLC's National Provider Identifier is 1386879096, issued on May 26, 2009. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Chichester, NH. The record was last updated on May 15, 2023.