Organization
THARP ENTERPRISES, L.L.C.
Active
Other names
Prodigy Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM THARP (PRESIDENT AND COO)
(480) 235-6760
Entity
Organization
Contact information
Practice address
460 N MESA DR, MESA, AZ 85201-5973
(480) 237-7154
Mailing address
5721 E INGRAM ST, MESA, AZ 85205-3420
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/04/2018
Last updated
12/04/2018
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