SearchArizonaIntellectual and/or Developmental Disabilities Residential Treatment Facility

Howard Thomas, BH8703

NPI 1285403741 · on the registry since 2023 · sole proprietor

Practice

Address
5528 W Maldonado Rd
Laveen, AZ 85339
Phone
(919) 824-6953

Registry record

Primary taxonomy
Intellectual and/or Developmental Disabilities Residential Treatment Facility
320600000X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-12-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona