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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
1261QM0855XAdolescent and Children Mental Health Clinic/Center
2261QP2300XPrimary Care Clinic/Center
3261QR0800XRecovery Care Clinic/Center
4261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)OTC-5446AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1295784817
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 : 602-685-6001
Provider Business Practice Location Address
First Line : 4909 E MCDOWELL RD
Second Line :
City : PHOENIX
State : AZ
Zip : 85008-4227
Country : US
Telephone Number : 602-685-6000
Fax Number : 602-275-1355
Authorized Official
Title or Position : PRESIDENT & CEO
Name : MRS. KAREN HOFFMAN TEPPER
Credential : PH.D
Telephone Number : 602-685-6000
Provider Enumeration Date : 05/09/2006
Last Update Date : 07/12/2023

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Directions to “TERROS, INC. ” Practice Location

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