Organization
THUNDERMAKER BHRF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADDISON HOWARD (COO)
(928) 493-4300
Entity
Organization
Contact information
Practice address
2008 NORTHSIDE DR, PRESCOTT, AZ 86301-1043
(608) 432-1327
Mailing address
2008 NORTHSIDE DR, PRESCOTT, AZ 86301-1043
(608) 432-1327
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
03/04/2025
Last updated
12/12/2025
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