| Terros Health | |
|
3531 N Moore St Ste 4 Kingman AZ 86409-0951 | |
| (602) 685-6000 | |
| (928) 679-2198 |
| Full Name | Terros Health |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3531 N Moore St Ste 4, Kingman, Arizona |
| Authorized Official Name and Position | Karen Hoffman Tepper (PRESIDENT & CEO) |
| Authorized Official Contact | 6026856000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Terros Health 3003 N Central Ave Ste 400 Phoenix AZ 85012-2929 Ph: (602) 685-6000 | Terros Health 3531 N Moore St Ste 4 Kingman AZ 86409-0951 Ph: (602) 685-6000 |
| NPI Number | 1528730546 |
|---|---|
| Provider Enumeration Date | 09/28/2021 |
| Last Update Date | 06/03/2022 |
| Certification Date | 06/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528730546 | NPI | - | NPPES |
| 101533 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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