NPI 1023285962

Thad's House, LLC

Organisation Substance Abuse Rehabilitation Facility Casper, WY

Practice location

Address: 636 E a St, Casper, WY 82601-2004
Phone: (307) 333-4671
Fax: (307) 472-1713
Mailing address: PO Box 50141, Casper, WY 82605-0141

Authorised official

Name: Thad Matthew Davidson
Title: Owner
Phone: (307) 333-4671

Registered specialties

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X Licence LAT 234 (WY)

Other Substance Abuse Rehabilitation Facility providers in Wyoming →

Registry record

NPI: 1023285962
Entity type: Organization
NPI issued: 9 May 2008
Record last updated: 9 May 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.