EBONY HOUSE INC NPI 1063073203

NPI Information

NPI: 1063073203
Provider Name: EBONY HOUSE INC
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
1616 E INDIAN SCHOOL RD STE 415
PHOENIX, AZ
ZIP 85016
Phone: (602) 281-6165
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EBONY HOUSE INC is an adult mental health clinic center in Phoenix, AZ. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. EBONY HOUSE INC NPI is 1063073203. The provider is registered as an organization entity type.

The provider's business location address is:

1616 E INDIAN SCHOOL RD STE 415
PHOENIX, AZ
ZIP 85016-604
Phone: (602) 281-6165
Fax: (602) 281-6522

The provider's authorized official is Che Jordan .
The authorized official title is Ceo and has the following contact phone number (602) 276-4288.

The enumeration date for this NPI number is 6/27/2019 and was last updated on 7/26/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0850X	Clinic/Center	Adult Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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