Organization
TERPRO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALLEN ANTONELLI (MANAGING DIRECTOR)
(602) 900-6364
Entity
Organization
Contact information
Practice address
8175 W LUDLOW DR UNIT 222, PEORIA, AZ 85381-4796
(602) 900-6364
Mailing address
8175 W LUDLOW DR UNIT 222, PEORIA, AZ 85381-4796
(602) 900-6364
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/13/2019
Last updated
09/13/2019
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