Organization · Type 2 NPI

Eagles Nest Thunderbird LLC

Emotionally Disturbed Childrens' Residential Treatment Facility · Phoenix, AZ

NPI number 1649965195 Active

Practice location

540 E Thunderbird Trl
Phoenix, AZ 85042-8370

Call (602) 305-9599 Map

Fax (602) 268-4834

Mailing address

1802 E Dobbins Rd
Phoenix, AZ 85042-8500

Specialties and licenses

Taxonomy	Code	License
Emotionally Disturbed Childrens' Residential Treatment Facility Primary	322D00000X	None listed

Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

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NPI record

NPI: 1649965195
Entity type: Organization (Type 2)
Issued: Apr 10, 2023
Last updated: May 23, 2023
Status: Active

Other names

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Eaglesnestthunderbird · doing business as
Eaglesnestthunderbird · doing business as

Authorized official

Mrs. Barbara L Cobbs-McClure
Assistant Director
(602) 570-9309

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1649965195

Eagles Nest Thunderbird LLC's National Provider Identifier is 1649965195, issued on Apr 10, 2023. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Phoenix, AZ. The record was last updated on May 23, 2023.