Whalio Doctors

NPI 1811043524

Tilda Manor II

Organisation Psychiatric Residential Treatment Facility Gilbert, AZ

Practice location

Address
3583 E Wildhorse Dr, Gilbert, AZ 85297-7745
Phone
(480) 988-5611
Fax
(480) 988-5611
Mailing address
1404 N Ananea, Mesa, AZ 85207-3877

Authorised official

Name
Samuel Ashu
Title
Assistant Administrator
Phone
(602) 561-4800

Registered specialties

Psychiatric Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 323P00000X Licence BH2683 (AZ)

Registry record

NPI
1811043524
Entity type
Organization
NPI issued
26 Jan 2007
Record last updated
22 Aug 2020

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.