Organization
EBONY HOUSE INC
Active
Organization
EBONY HOUSE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHE JORDAN (CEO)
(602) 276-4288
Entity
Organization
Contact information
Practice address
1616 E INDIAN SCHOOL RD STE 415, PHOENIX, AZ 85016-8604
(602) 281-6165
(602) 281-6522
Mailing address
6222 S 13TH ST, PHOENIX, AZ 85042-4408
(602) 276-4288
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
06/27/2019
Last updated
07/26/2023
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