person
Mayra Ivon Thrush
Substance Abuse Rehabilitation Facility in Whittier, California
NPI 1669811519

Mayra Ivon Thrush is a Substance Abuse Rehabilitation Facility based in Whittier, CA. Mayra Ivon Thrush practices in Whittier, CA. The NPI Number for Mayra Ivon Thrush is 1669811519 and holds a License No. 1710076930 (California).

The current practice location address for Mayra Ivon Thrush is 12322 Clearglen Ave, Whittier, CA and can be reached out via phone at 562-947-3835 and via fax at 562-947-4053.

Location: 12322 Clearglen Ave, Whittier, CA, 90604-3872
person
Provider Profile Details
NPI Number
1669811519
Provider Name
Mayra Ivon Thrush
Credential
Provider Entity Type
Individual
Gender
Female
Address
12322 Clearglen Ave, Whittier, CA, 90604-3872
Phone Number
562-947-3835
Fax Number
562-947-4053
Provider Enumeration Date
06/24/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
12322 Clearglen Ave
City
State
Zip
90604-3872
Phone Number
562-947-3835
Fax Number
562-947-4053
person
Provider Business Mailing Address Details
Address
12322 Clearglen Ave
City
State
Zip
90604-3872
Phone Number
562-947-3835
Fax Number
562-947-4053
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
License No.
1710076930 (California)
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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