Joondalup Prestige LLC

NPI #1003577222 in Laveen, Arizona

Provider Information

NPI Number: 1003577222
Entity Type: Organization
Organization Name: Joondalup Prestige LLC
Primary Specialty: Community Based Residential Treatment Facility, Mental Illness
Enumeration Date: Jan 10, 2022
Last Updated: Jan 10, 2022

Practice Location

Address: 8509 S 41ST DR
City: Laveen
State: Arizona
ZIP Code: 85339-7823
Phone: (858) 344-4746

Authorized Official

Name: MS. MERCY WENDY MUTHONI, MD
Title: ADMINISTRATOR
Phone: (858) 344-4746

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Mental Illness	320800000X	Primary

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