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Organization

PONDECA CONSULTANTS

Active
Other names
THRIVE PLACE BEHAVIORAL
Organization subpart
No

Provider details

NPI number
Authorized official
MISS CLARA PONDECA (OWNER)
(602) 880-0133
Entity
Organization

Contact information

Practice address
26120 N POSEIDON RD, FLORENCE, AZ 85132-5537
(602) 880-0133
Mailing address
929 N VAL VISTA DR, STE 109 PMB 1113, GILBERT, AZ 85234-3701
(602) 880-0133

Taxonomy

Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
363LP0808X
Psychiatric/Mental Health Nurse Practitioner

Other

Enumeration date
09/20/2024
Last updated
11/13/2025
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