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Soba Mesa Llc
Substance Abuse Rehabilitation Facility in Mesa, Arizona
NPI 1326491283

Soba Mesa Llc is a Substance Abuse Rehabilitation Facility based in Mesa, AZ. Soba Mesa Llc practices in Mesa, AZ. The NPI Number for Soba Mesa Llc is 1326491283 and holds a License No. IFBH7657 (Arizona).

The current practice location address for Soba Mesa Llc is 6215 E Arbor Ave, Mesa, AZ and can be reached out via phone at 480-664-4053.

Location: 6215 E Arbor Ave, Mesa, AZ, 85206-6101
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1326491283
Provider Name
Soba Mesa Llc
Credential
Provider Entity Type
Organization
Address
6215 E Arbor Ave, Mesa, AZ, 85206-6101
Phone Number
480-664-4053
Fax Number
Provider Enumeration Date
07/15/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
03D2110429 01 CA CLIA
institution
Provider Business Practice Location Address Details
Address
6215 E Arbor Ave
City
Mesa
State
Arizona
Zip
85206-6064
Phone Number
480-664-4053
Fax Number
person
Provider Business Mailing Address Details
Address
6215 E Arbor Ave
City
Mesa
State
Arizona
Zip
85206-6064
Phone Number
480-664-4053
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
IFBH7657 (Arizona)
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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