Individual provider · Type 1 NPI

Olivia Mendoza

Intellectual and/or Developmental Disabilities Residential Treatment Facility · El Paso, TX

NPI number 1619331410 Active

Practice location

2917 Frutas Ave
El Paso, TX 79905-1007

Mailing address

5047 Sagittarius Ave
El Paso, TX 79924-2328

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000XNone listed

Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

About NPI 1619331410

Olivia Mendoza's National Provider Identifier is 1619331410, issued on Apr 7, 2016. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in El Paso, TX. The record was last updated on Apr 7, 2016.