institution
Ebony House Inc
Substance Abuse Rehabilitation Facility in Phoenix, Arizona
NPI 1023170933

Ebony House Inc is a Substance Abuse Rehabilitation Facility based in Phoenix, AZ. Ebony House Inc practices in Phoenix, AZ. The NPI Number for Ebony House Inc is 1023170933 and holds a License No. BH076 (Arizona).

The current practice location address for Ebony House Inc is 6218 S 13Th St, Phoenix, AZ and can be reached out via phone at 602-276-4288 and via fax at 602-232-2938. You can also correspond with Ebony House Inc through the mailing address at 6222 S 13TH ST, PHOENIX, AZ - 85042-4408 (mailing address contact number: 602-276-4288).

Location: 6218 S 13Th St, Phoenix, AZ, 85042-4408
institution
Provider Profile Details
NPI Number
1023170933
Provider Name
Ebony House Inc
Credential
Provider Entity Type
Organization
Address
6218 S 13Th St, Phoenix, AZ, 85042-4408
Phone Number
602-276-4288
Fax Number
602-232-2938
Provider Enumeration Date
12/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
319790 01 AZ AHCCCS NUMBER
institution
Provider Business Practice Location Address Details
Address
6218 S 13Th St
City
State
Zip
85042-4408
Phone Number
602-276-4288
Fax Number
602-232-2938
person
Provider Business Mailing Address Details
Address
6218 S 13Th St
City
State
Zip
85042-4408
Phone Number
602-276-4288
Fax Number
602-232-2938
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
License No.
BH076 (Arizona)
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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