IDRIS ROBERSON
NPI 1639957277
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Glendale, AZ
About Idris Roberson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IDRIS ROBERSON (NPI 1639957277) is an individual community based residential treatment facility, intellectual and/or developmental disabilities provider in Glendale, Arizona, licensed in Arizona (221509-14979) and active in the NPI registry since September 2023.
NPPES Registry Identity
Specialties & Licenses 2
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Idris Roberson's NPI number?
The NPI number for Idris Roberson is 1639957277. It was assigned to this individual provider in the NPPES registry on September 15, 2023.
Where is Idris Roberson located?
Idris Roberson practices at 4494 W Peoria Ave Ste 101, Glendale, AZ 85302. The listed phone number is (602) 687-2043.
What is Idris Roberson's specialty?
The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.
When was this NPI record last updated?
The NPPES record for Idris Roberson was last updated on September 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
