Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ebony House Inc

Organization Substance Abuse Rehabilitation Facility · NPI 1023170933

Ebony House Inc is a Substance Abuse Rehabilitation Facility in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2006.

Licensed in
AZ
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6218 S 13th St
Phoenix, AZ 85042-4408
Phone: (602) 276-4288
Fax: (602) 232-2938
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Abuse Rehabilitation Facility (primary) Taxonomy 324500000X · Licence BH076 (AZ)

Record details

NPI number1023170933
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Che Jordan — Ceo · (602) 276-4288
NPI enumeratedDecember 15, 2006
Last updated in NPPESJuly 26, 2023
Certification dateJuly 26, 2023
Mailing address6222 S 13th St, Phoenix, AZ 85042-4408

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