| NPI | 1659015733 |
|---|---|
| Other Name | JOSEPH MENDOZA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA R1605970325) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 251S00000X Community/Behavioral Health | |
| 373H00000X Day Training/Habilitation Specialist | |
| Enumeration Date | 2022-04-25 |
| Last Update Date | 2025-08-18 |