Organization
THWAITES COMPANY
Active
Organization
THWAITES COMPANY
Active
Other names
Essential Living
Organization subpart
No
Provider details
NPI number
Authorized official
KAY LYNN THWAITES (CEO)
(331) 219-8125
Entity
Organization
Contact information
Practice address
4121 W IRWIN AVE, PHOENIX, AZ 85041-6087
(331) 219-8125
Mailing address
4121 W IRWIN AVE, PHOENIX, AZ 85041-6087
(331) 219-8125
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
04/27/2023
Last updated
06/19/2023
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