institution
Ebony House Inc
Substance Abuse Rehabilitation Facility in Phoenix, Arizona
NPI 1851455604

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 1851455604 and holds a License No. BH2371 (Arizona).

The current practice location address for Ebony House Inc is 8646 S 14Th St, Phoenix, AZ and can be reached out via phone at 602-243-5491 and via fax at 602-243-5486.

Location: 8646 S 14Th St, Phoenix, AZ, 85042-4408
institution
Provider Profile Details
NPI Number
1851455604
Provider Name
Ebony House Inc
Credential
Provider Entity Type
Organization
Address
8646 S 14Th St, Phoenix, AZ, 85042-4408
Phone Number
602-243-5491
Fax Number
602-243-5486
Provider Enumeration Date
12/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
845604 01 AZ AHCCCS NUMBER
institution
Provider Business Practice Location Address Details
Address
8646 S 14Th St
City
State
Zip
85042-7902
Phone Number
602-243-5491
Fax Number
602-243-5486
person
Provider Business Mailing Address Details
Address
8646 S 14Th St
City
State
Zip
85042-7902
Phone Number
602-243-5491
Fax Number
602-243-5486
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
License No.
BH2371 (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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