Organization · Type 2 NPI
Ebony House Inc
Substance Abuse Rehabilitation Facility · Phoenix, AZ
NPI number
1023170933
Active
Practice location
6218 S 13th St
Phoenix, AZ 85042-4408
Fax (602) 232-2938
Mailing address
6222 S 13th St
Phoenix, AZ 85042-4408
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Abuse Rehabilitation Facility Primary | 324500000X | BH076 (AZ) |
Substance Abuse Rehabilitation Facility: 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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About NPI 1023170933
Ebony House Inc's National Provider Identifier is 1023170933, issued on Dec 15, 2006. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Phoenix, AZ. The record was last updated on Jul 26, 2023.