Maverick House

LBN: Terros, Inc.
Maverick House is an health care organization with primary practice located at 5801 N 51St Ave , Glendale AZ 85301-6057. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as the primary health care specialty. Terros, Inc. can be contacted via phone (602) 685-6000, or through Tepper, Karen Hoffman via phone (602) 685-6000.

Contact Information

Primary practice address
5801 N 51St Ave Glendale AZ 85301-6057
Fax: (602) 930-0358
Website:
Authorized official contact:
Name: Tepper, Karen Hoffman PH.D

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X BH4459 Arizona

Profile Details

NPI number 1487072351
LBN Legal business name Terros, Inc.
DBA Doing business as Maverick House
Authorized official Tepper, Karen Hoffman PH.D
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 28th, 2014
Last updated Jun 3rd, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487072351 NPPES
Arizona MEDICAID 906404

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