Individual provider · Type 1 NPI

Leslie Mendoza

Community/Behavioral Health Agency · Chicago, IL

NPI number 1467909010 Active

Practice location

10046 S Western Ave
Chicago, IL 60643-1926

Mailing address

3605 W. Fillmore St.
Chicago, IL 60624

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XNone listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1467909010

Leslie Mendoza's National Provider Identifier is 1467909010, issued on Sep 1, 2016. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Chicago, IL. The record was last updated on Sep 1, 2016.