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NPI Code Detail

MEDICARE: TERROS, INC.

MEDICARE: TERROS, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251V00000XVoluntary or Charitable Agency
2320800000XMental Illness Community Based Residential Treatment Facility

General Provider Information

NPI Number : 1184455040
Entity Type Code : Organization
Provider Name (Legal Business Name) : TERROS, INC.
Provider Business Mailing Address
First Line : 3003 N CENTRAL AVE STE 400
Second Line :
City : PHOENIX
State : AZ
Zip : 85012-2929
Country : US
Telephone Number : 602-685-6000
Fax Number : 602-302-7925
Provider Business Practice Location Address
First Line : 3222 N 37TH ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85018-6304
Country : US
Telephone Number : 602-685-6000
Fax Number : 602-302-7925
Authorized Official
Title or Position : PRESIDENT/CEO
Name : KAREN HOFFMAN TEPPER
Credential : PHD
Telephone Number : 602-685-6000
Provider Enumeration Date : 08/12/2024
Last Update Date : 09/16/2024

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Directions to “TERROS, INC. ” Practice Location

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