101 Wall Support Services LLC
101 Wall Support Services LLC is a Community/Behavioral Health Agency in Mesa, Arizona. Licensed in Arizona. Registered with an NPI since 2013.
- Licensed in
- AZ
- In the registry since
- 2013
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
919 N Stapley Dr Ste MMesa, AZ 85203-5639
Phone: (480) 285-9426
Fax: (480) 907-1358
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X · Licence BH-4204 (AZ) |
|---|
Record details
| NPI number | 1568804342 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jonathan Taylor — Chief Executive Officer · (480) 285-9426 |
| NPI enumerated | July 23, 2013 |
| Last updated in NPPES | July 23, 2013 |
| Mailing address | 919 N Stapley Dr, Suite M, Mesa, AZ 85203-5639 |
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