person
Russell Mendez
Mental Illness Community Based Residential Treatment Facility in Hilo, Hawaii
NPI 1073149944

Russell Mendez is a Mental Illness Community Based Residential Treatment Facility based in Hilo, HI. Russell Mendez practices in Hilo, HI. The NPI Number for Russell Mendez is 1073149944 and holds a License No. (Hawaii).

The current practice location address for Russell Mendez is 1786 Kinoole St, Hilo, HI and can be reached out via phone at 714-316-3868.

Location: 1786 Kinoole St, Hilo, HI, 96720-5245
person
Provider Profile Details
NPI Number
1073149944
Provider Name
Russell Mendez
Credential
Provider Entity Type
Individual
Gender
Male
Address
1786 Kinoole St, Hilo, HI, 96720-5245
Phone Number
714-316-3868
Fax Number
Provider Enumeration Date
03/23/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1786 Kinoole St
City
State
Zip
96720-5245
Phone Number
714-316-3868
Fax Number
person
Provider Business Mailing Address Details
Address
1786 Kinoole St
City
State
Zip
96720-5245
Phone Number
714-316-3868
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
License No.
()
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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