Provider Demographics
NPI:1831556752
Name:A TELEIOS RECOVERY
Entity type:Organization
Organization Name:A TELEIOS RECOVERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:WENHUI
Authorized Official - Middle Name:
Authorized Official - Last Name:CAI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:520-576-7715
Mailing Address - Street 1:6879 N ORACLE RD
Mailing Address - Street 2:SUITE 125
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85704-4284
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6879 N ORACLE RD
Practice Address - Street 2:SUITE 125
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704-4284
Practice Address - Country:US
Practice Address - Phone:520-620-9188
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-22
Last Update Date:2016-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZOTC7458324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility