Organization
SPECTRUM COLLEGE TRANSITION PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS ANTHONY BLOOM PH.D. (CHIEF OPERATING OFFICER)
(480) 443-7331
Entity
Organization
Contact information
Practice address
10931 E LAUREL LN, SCOTTSDALE, AZ 85259-3095
(480) 443-7331
(480) 998-1046
Mailing address
9659 N. HAYDEN ROAD, SCOTTSDALE, AZ 85258
(480) 443-7331
(480) 998-1046
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/16/2015
Last updated
02/19/2015
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