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Contact Information

MENTOR ABI
2000 CRAWFORD PL STE 700
MOUNT LAUREL, NJ08054-3950
 Phone: 813-626-1444
 Fax: 813-621-0770
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rehabilitation Hospital

283X00000X A0[7] Hospital-Rehabilitation (PPS excluded)
 

Community Based Residential Treatment Facility, Mental Illness

320800000X
Indicates primary specialty

NPI Profile & details for MENTOR ABI

NPI # 1740596568
LBN Legal business name MENTOR ABI
Authorized official CHRIS CUTLER - (CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 08/31/2010
Last updated 01/30/2013 - About 13 years ago
Identifiers
NJ Medicaid 0256625
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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