Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KERRY MENDOZA
Active Sole ProprietorKERRY MENDOZA is a Psychiatric Residential Treatment Facility healthcare provider located in ROCK ISLAND, Illinois. NPI 1881138071 is currently active in the NPPES registry. Verify at CMS.
Psychiatric Residential Treatment Facility · ROCK ISLAND, IL
Registration Details
- NPI Number
- 1881138071
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 7, 2016 (9.7186188996727 yrs)
- Last Updated
- Dec 7, 2016
- Sole Proprietor
- Yes
Practice Information
- Address
-
2701 17TH STROCK ISLAND, IL, 612015351Browse IL providers · Browse ZIP 61201
- Phone
- 3097792957
- Primary Specialty
-
Psychiatric Residential Treatment Facility
320800000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.