Organization
BORABORA INTEGRATED HEALTH SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KERUBO HAPPINESS KINARO PHD, BA, BSN, RN (CEO)
(410) 660-5117
Entity
Organization
Contact information
Practice address
9299 W OLIVE AVE STE 404, PEORIA, AZ 85345-8383
(410) 660-5117
Mailing address
4015 W SALTER DR, GLENDALE, AZ 85308-2078
(410) 660-5117
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/06/2022
Last updated
04/06/2022
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