NPI 1033426739
Mentor Abi, LLC
Practice location
- Address
- 986 Sebago Rd, Sebago, ME 04029-3814
- Phone
- (207) 787-2162
- Fax
- (207) 787-2246
- Mailing address
- 313 Congress St, Boston, MA 02210-1218
Authorised official
- Name
- Brett Ian Cohen
- Title
- Coo
- Phone
- (800) 388-5150
Registered specialties
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1033426739
- Entity type
- Organization
- NPI issued
- 2 Sep 2010
- Record last updated
- 15 May 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.