NPI | 1003577222 |
---|---|
Doing Business As | JOONDALUP PRESTIGE BEHAVIORAL HOME |
Entity Type | Organization |
Authorized Contact | MERCY WENDY MUTHONI Administrator 858-344-4746 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Enumeration Date | 2022-01-10 |
Last Update Date | 2022-01-10 |