Whalio Doctors

NPI 1073213062

Katonda Capital

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Phoenix, AZ

Practice location

Address
10208 W Highland Ave, Phoenix, AZ 85037-5224
Phone
(480) 227-1547

Authorised official

Name
Keeon Pullen
Title
Owner
Phone
(480) 227-1547

Registered specialties (2)

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320600000X
Adult Mental Health Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QM0850X

Registry record

NPI
1073213062
Entity type
Organization
NPI issued
8 Mar 2023
Record last updated
9 Mar 2023

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.