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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