# EAGLES NEST THUNDERBIRD LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** eaglesnestThunderbird
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649965195
- **Authorized official:** MRS. BARBARA L COBBS-MCCLURE (ASSISTANT DIRECTOR)
- **Authorized official phone:** (602) 570-9309

## Contact information

- **Practice address:** 540 E THUNDERBIRD TRL, PHOENIX, AZ 85042-8370
- **Practice address phone:** (602) 305-9599
- **Practice address fax:** (602) 268-4834
- **Mailing address:** 1802 E DOBBINS RD, PHOENIX, AZ 85042-8500
- **Mailing address phone:** (602) 568-1441
- **Mailing address fax:** (602) 268-4834

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | — | Yes |

## Other

- **Enumeration date:** 04/10/2023
- **Last updated:** 05/23/2023