Thad's House, LLC
NPI #1023285962 in Casper, Wyoming
Provider Information
- NPI Number
- 1023285962
- Entity Type
- Organization
- Organization Name
- Thad's House, LLC
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- May 9, 2008
- Last Updated
- May 9, 2008
Practice Location
Authorized Official
- Name
- MR. THAD MATTHEW DAVIDSON, LAT
- Title
- OWNER
- Phone
- (307) 333-4671
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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