Organization
JOONDALUP PRESTIGE LLC
Active
Other names
JOONDALUP PRESTIGE BEHAVIORAL HOME
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MERCY WENDY MUTHONI MD (ADMINISTRATOR)
(858) 344-4746
Entity
Organization
Contact information
Practice address
8509 S 41ST DR, LAVEEN, AZ 85339-7823
(858) 344-4746
(480) 546-4743
Mailing address
8509 S 41ST DR, LAVEEN, AZ 85339-7823
(858) 344-4746
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/10/2022
Last updated
01/10/2022
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