NPI 1023170933
Ebony House INC
Practice location
- Address
- 6218 S 13th St, Phoenix, AZ 85042-4408
- Phone
- (602) 276-4288
- Fax
- (602) 232-2938
- Mailing address
- 6222 S 13th St, Phoenix, AZ 85042-4408
Authorised official
- Name
- Che Jordan
- Title
- Ceo
- Phone
- (602) 276-4288
Registered specialties
Substance Abuse Rehabilitation Facility
Primary
Registry record
- NPI
- 1023170933
- Entity type
- Organization
- NPI issued
- 15 Dec 2006
- Record last updated
- 26 Jul 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.