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
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