Whalio Doctors

NPI 1003577222

Joondalup Prestige LLC

Organisation Mental Illness Community Based Residential Treatment Facility Laveen, AZ

Practice location

Address
8509 S 41st Dr, Laveen, AZ 85339-7823
Phone
(858) 344-4746
Fax
(480) 546-4743

Authorised official

Name
Mercy Wendy Muthoni
Title
Administrator
Phone
(858) 344-4746

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320800000X

Registry record

NPI
1003577222
Entity type
Organization
NPI issued
10 Jan 2022
Record last updated
10 Jan 2022

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.