Organization · NPI-2

Adora Healthcare Services

Community Based Residential Treatment Facility, Mental Illness · Phoenix, AZ

NPI number1972195428

StatusActive

Last updated in NPPESFeb 5, 2021

Details

NPI: 1972195428
Entity type: Organization (NPI-2)
Legal business name: Adora Healthcare Services
Organization subpart: Yes
Enumeration date: Feb 5, 2021
Certification date: Feb 5, 2021
Last updated: Feb 5, 2021

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
320800000X	Community Based Residential Treatment Facility, Mental Illness	–	–	Yes
101YA0400X	Counselor, Addiction (Substance Use Disorder)	–	–
101YM0800X	Counselor, Mental Health	–	–
103TP2701X	Psychologist, Group Psychotherapy	–	–
363LP0808X	Nurse Practitioner, Psych/Mental Health	–	–

Practice location

3045 E Cholla St
Phoenix, AZ 85028-1917

Phone 216-544-5418 · Fax 623-251-7452

Mailing address

3045 E Cholla St
Phoenix, AZ 85028-1917

Phone 216-544-5418 · Fax 623-251-7452

Authorized official

Peter Tamunoh Teboh
Ceo
2165445418

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