| Terros Inc | |
|
2139 Airway Ave Ste A Kingman AZ 86409-3748 | |
| (602) 685-6000 | |
| (928) 529-2197 |
| Full Name | Terros Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2139 Airway Ave Ste A, 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 Inc 3003 N Central Ave Ste 400 Phoenix AZ 85012-2929 Ph: (602) 685-6000 | Terros Inc 2139 Airway Ave Ste A Kingman AZ 86409-3748 Ph: (602) 685-6000 |
| NPI Number | 1891580288 |
|---|---|
| Provider Enumeration Date | 04/14/2025 |
| Last Update Date | 04/14/2025 |
| Certification Date | 04/14/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891580288 | NPI | - | NPPES |
| OTC13702 | Other | AZ | OTC LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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