Organization
REGIONAL CENTER FOR BORDER HEALTH, INC
Active
Organization
REGIONAL CENTER FOR BORDER HEALTH, INC
Active
Other names
Family Behavioral Integrated Services
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA AGUIRRE REGISTERED DIETICIAN (PRESIDENT & CEO)
(928) 315-7910
Entity
Organization
Contact information
Practice address
1130 E MAIN ST, SOMERTON, AZ 85350-7413
(928) 627-2017
Mailing address
PO BOX 617, SOMERTON, AZ 85350-0617
(928) 315-7910
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
075094
—
AZ
01
—
OTC7579
ARIZONA DEPARTMENT OF HEALTH SERVICES
AZ
Enumeration date
08/11/2015
Last updated
08/12/2024
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