Organization
49 ALPHA LLC
Active
Other names
Glen Thorne
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GLEN THORNE JR. (CEO)
(208) 212-4536
Entity
Organization
Contact information
Practice address
1102 KENYON RD, TWIN FALLS, ID 83301-5648
(208) 212-4536
Mailing address
1102 KENYON RD, TWIN FALLS, ID 83301-5648
(208) 308-0158
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/08/2025
Last updated
09/09/2025
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