Organization · Type 2 NPI
Joondalup Prestige LLC
Mental Illness Community Based Residential Treatment Facility · Laveen, AZ
NPI number
1356086037
Active
Practice location
4602 W Donner Dr
Laveen, AZ 85339-4264
Fax (520) 455-3200
Mailing address
8509 S 41st Dr
Laveen, AZ 85339-7823
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | None listed |
Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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About NPI 1356086037
Joondalup Prestige LLC's National Provider Identifier is 1356086037, issued on Apr 28, 2022. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Laveen, AZ. The record was last updated on Apr 28, 2022.