Organization
ASAP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS ELDON BROWN CDP (DRUG/ALCOHOL COUNSELOR)
(928) 669-5243
Entity
Organization
Contact information
Practice address
12033 AGENCY RD # 730, PARKER, AZ 85344-7718
(928) 669-5243
Mailing address
3560 CHEMEHUEVI BLVD, LAKE HAVASU CITY, AZ 86406-6326
(928) 846-7874
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
CP00002772
WA
Other
Enumeration date
07/28/2009
Last updated
07/28/2009
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