Organization
ADORA HEALTHCARE SERVICES
Active
Organization
ADORA HEALTHCARE SERVICES
Active
Parent organization
ADORA HEALTHCARE SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADORA HEALTHCARE SERVICES
Authorized official
PETER TAMUNOH TEBOH FNP-BC (CEO)
(216) 544-5418
Entity
Organization
Contact information
Practice address
3045 E CHOLLA ST, PHOENIX, AZ 85028-1917
(216) 544-5418
(623) 251-7452
Mailing address
3045 E CHOLLA ST, PHOENIX, AZ 85028-1917
(216) 544-5418
(623) 251-7452
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
520776
—
AZ
Enumeration date
02/05/2021
Last updated
02/05/2021
Update your record
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