IDRIS ROBERSON
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Active
Individual
NPI: 1639957277
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Residential Treatment Facility, Intellectual and/or Developmental Disabilities | 320600000X | No | - |
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | 320900000X | Yes | 221509-14979 (AZ) |
Frequently Asked Questions
NPI 1639957277 is the National Provider Identifier for IDRIS ROBERSON, a Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities provider located in Glendale, AZ. This NPI was enumerated on September 15, 2023.
IDRIS ROBERSON practices at 4494 W PEORIA AVE STE 101, Glendale, AZ 85302.
Quick Facts
- NPI
- 1639957277
- Type
- Individual
- Enumerated
- Sep 15, 2023
- Last Updated
- Sep 15, 2023
Nearby Providers
-
PARMJEET BANGHAR, M.D.
Internal Medicine - Hematology & Oncology
-
MR. CRAIG BAILEY, PT, DPT
Physical Therapist
-
MR. ERIC PERCY-FINE, PT
Physical Therapist
-
MS. SARA HOMAN, PT
Physical Therapist
-
DR. JAMES FERRARO, D.O.
Internal Medicine - Nephrology