Whalio Doctors

NPI 1003283417

Rehoboth LLC

Organisation Mental Illness Community Based Residential Treatment Facility Maricopa, AZ

Practice location

Address
19436 N Smith Dr, Maricopa, AZ 85139-6877
Phone
(480) 603-5286
Mailing address
43014 W Wild Horse Trl, Maricopa, AZ 85138-8274

Authorised official

Name
Joy Talabi
Title
Administrator
Phone
(480) 603-5286

Registered specialties (3)

Mental Illness Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320800000X Licence BH4563 (AZ)
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Residential Treatment Facilities Taxonomy 320600000X Licence BH4563 (AZ)
Psychiatric Residential Treatment Facility
Residential Treatment Facilities Taxonomy 323P00000X Licence BH4563 (AZ)

Registry record

NPI
1003283417
Entity type
Organization
NPI issued
2 Sep 2015
Record last updated
2 Sep 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.