Organization
TERROS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAREN HOFFMAN TEPPER PH.D (CEO/PRESIDENT)
(602) 685-6000
Entity
Organization
Contact information
Practice address
4616 N 51ST AVE STE 108, PHOENIX, AZ 85031-1720
(602) 685-6000
(602) 269-8410
Mailing address
3003 N CENTRAL AVE STE 400, PHOENIX, AZ 85012-2929
(602) 685-6000
(602) 302-7925
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
OTC-7991
AZ
261QP2300X
Primary Care Clinic/Center
OTC-7991
AZ
261QR0800X
Recovery Care Clinic/Center
OTC-7991
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
232932
—
AZ
Enumeration date
07/27/2015
Last updated
06/02/2022
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