| NPI | 1659015733 |
|---|---|
| Other Name | JOSEPH MENDOZA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2022-04-25 |
| Last Update Date | 2024-08-23 |