Individual provider · Type 1 NPI

Kerry Mendoza

Mental Illness Community Based Residential Treatment Facility · Rock Island, IL

NPI number 1881138071 Active

Practice location

2701 17th St
Rock Island, IL 61201-5351

Call (309) 779-2957 Map

Mailing address

1854 45th St
Rock Island, IL 61201-3952

Specialties and licenses

TaxonomyCodeLicense
Mental Illness Community Based Residential Treatment Facility Primary 320800000XNone listed

Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

387 other providers at this address

About NPI 1881138071

Kerry Mendoza's National Provider Identifier is 1881138071, issued on Dec 7, 2016. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Rock Island, IL. The record was last updated on Dec 7, 2016.