Whalio Doctors

NPI 1093473837

Prembo LLC

Organisation Psychiatric Residential Treatment Facility Mission Viejo, CA

Practice location

Address
23711 Via Navarra, Mission Viejo, CA 92691-3637
Phone
(760) 409-7544
Mailing address
92 Corporate Park STE C-200, Irvine, CA 92606-5146

Authorised official

Name
Preston Jack Durnford
Title
Ceo/Owner
Phone
(760) 409-7544

Registered specialties

Psychiatric Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 323P00000X

Registry record

NPI
1093473837
Entity type
Organization
NPI issued
29 Nov 2021
Record last updated
31 Oct 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.