Organization
TERROS, INC.
Active
Parent organization
TERROS, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
TERROS, INC.
Authorized official
MRS. KAREN HOFFMAN TEPPER PH.D (PRESIDENT & CEO)
(602) 685-6000
Entity
Organization
Contact information
Practice address
6151-6153 W OLIVE AVE, GLENDALE, AZ 85302-4598
(602) 685-6000
(623) 937-2589
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
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
LAL000166
AZ
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
OTC-5659
AZ
261QP2300X
Primary Care Clinic/Center
OTC-5659
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011432
—
AZ
Enumeration date
12/15/2014
Last updated
06/03/2022
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