institution
Ebony House Inc
Addiction (Substance Use Disorder) Counselor in Phoenix, Arizona
NPI 1710161419

Ebony House Inc is an Addiction (Substance Use Disorder) Counselor based in Phoenix, AZ and is specialized in Addiction (Substance Use Disorder). Ebony House Inc practices in Phoenix, AZ. The NPI Number for Ebony House Inc is 1710161419 and holds a License No. (Arizona).

The current practice location address for Ebony House Inc is 6222 13Th St Bldg Y, Phoenix, AZ and can be reached out via phone at 602-276-4288 and via fax at 602-232-2938.

Location: 6222 13Th St Bldg Y, Phoenix, AZ, 85042
institution
Provider Profile Details
NPI Number
1710161419
Provider Name
Ebony House Inc
Credential
Provider Entity Type
Organization
Address
6222 13Th St Bldg Y, Phoenix, AZ, 85042
Phone Number
602-276-4288
Fax Number
602-232-2938
Provider Enumeration Date
12/18/2007
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
274629 05 AZ
274629 01 AZ AHCCCS
institution
Provider Business Practice Location Address Details
Address
6222 13Th St Bldg Y
City
State
Zip
85042
Phone Number
602-276-4288
Fax Number
602-232-2938
person
Provider Business Mailing Address Details
Address
6222 13Th St Bldg Y
City
State
Zip
85042
Phone Number
602-276-4288
Fax Number
602-232-2938
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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