NPI 1568103182

Borabora Integrated Health System

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Peoria, AZ

Practice location

Address: 9299 W Olive Ave STE 404, Peoria, AZ 85345-8383
Phone: (410) 660-5117
Mailing address: 4015 W Salter Dr, Glendale, AZ 85308-2078

Authorised official

Name: Kerubo Happiness Kinaro
Title: Ceo
Phone: (410) 660-5117

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X

Other Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Arizona →

Registry record

NPI: 1568103182
Entity type: Organization
NPI issued: 6 Apr 2022
Record last updated: 6 Apr 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.