Organization
THOMPSON HOUSE FOR YOUTH LEADERSHIP AND WELLNESS
Active
Organization
THOMPSON HOUSE FOR YOUTH LEADERSHIP AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TYREE THOMPSON (OWNER)
(602) 618-5369
Entity
Organization
Contact information
Practice address
6536 N 28TH GLN, PHOENIX, AZ 85017-1282
(602) 841-0423
Mailing address
6536 N 28TH GLN, PHOENIX, AZ 85017
Taxonomy
Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
BH-3419
AZ
Other
Enumeration date
03/04/2010
Last updated
03/04/2010
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