OrganizationActive
Mentor Abi
NPI 1649574252 · Mental Illness Community Based Residential Treatment Facility · Waterford, WI
Provider details
- NPI number
- 1649574252
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- Chris Cutler, Cfo
- License
- 0013091 (WI)
Practice location
5310 Buena Park Rd
Waterford, WI 53185-2907
Phone: (262) 534-4864
Fax: (262) 546-0801
Mailing address
10150 Highland Manor Dr Ste 140
Tampa, FL 33610-9712
Registry dates
- Enumerated
- 2010-12-23
- Last updated
- 2010-12-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.