Thomas Hathorn
Thomas Hathorn is registered under Substance Abuse Rehabilitation Facility in Lakeside, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2014
Practice location Address checks out
24352 Featherstone Canyon RdLakeside, CA 92040 Not confirmed with CMS for 12 years — call before visiting
Phone: (619) 797-7319
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Substance Abuse Rehabilitation Facility (primary) | Taxonomy 324500000X · Licence 370139AN (CA) |
|---|
Record details
| NPI number | 1093118176 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 2, 2014 |
| Last updated in NPPES | October 2, 2014 |
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