person
Kerry Mendoza
Mental Illness Community Based Residential Treatment Facility in Rock Island, Illinois
NPI 1881138071

Kerry Mendoza is a Mental Illness Community Based Residential Treatment Facility based in Rock Island, IL. Kerry Mendoza practices in Rock Island, IL. The NPI Number for Kerry Mendoza is 1881138071 and holds a License No. (Illinois).

The current practice location address for Kerry Mendoza is 2701 17Th St, Rock Island, IL and can be reached out via phone at 309-779-2957.

Location: 2701 17Th St, Rock Island, IL, 61201-3952
person
Provider Profile Details
NPI Number
1881138071
Provider Name
Kerry Mendoza
Credential
Provider Entity Type
Individual
Gender
Male
Address
2701 17Th St, Rock Island, IL, 61201-3952
Phone Number
309-779-2957
Fax Number
Provider Enumeration Date
12/07/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2701 17Th St
City
State
Zip
61201-5351
Phone Number
309-779-2957
Fax Number
person
Provider Business Mailing Address Details
Address
2701 17Th St
City
State
Zip
61201-5351
Phone Number
309-779-2957
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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