Individual
NARUYEYA RUBURURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4205 S 73RD DR, PHOENIX, AZ 85043-2044
(602) 775-1264
Mailing address
4000 N CENTRAL AVE STE 100, PHOENIX, AZ 85012-3520
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
BH10515
AZ
385H00000X
Respite Care
BH10515
AZ
Other
Enumeration date
06/04/2025
Last updated
06/04/2025
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