Organization
EAGLES NEST THUNDERBIRD LLC
Active
Other names
eaglesnestThunderbird
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BARBARA L COBBS-MCCLURE (ASSISTANT DIRECTOR)
(602) 570-9309
Entity
Organization
Contact information
Practice address
540 E THUNDERBIRD TRL, PHOENIX, AZ 85042-8370
(602) 305-9599
(602) 268-4834
Mailing address
1802 E DOBBINS RD, PHOENIX, AZ 85042-8500
(602) 568-1441
(602) 268-4834
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/10/2023
Last updated
05/23/2023
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