Organization · NPI-2

Achieve Residential Living

Community Based Residential Treatment Facility, Mental Illness · Mesa, AZ

NPI number1932862729
StatusActive
Last updated in NPPESOct 19, 2021

Details

NPI
1932862729
Entity type
Organization (NPI-2)
Legal business name
Achieve Residential Living
Organization subpart
No
Enumeration date
Oct 19, 2021
Certification date
Oct 19, 2021
Last updated
Oct 19, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
320800000X Community Based Residential Treatment Facility, Mental Illness––Yes

Practice location

9375 E Dallas St
Mesa, AZ 85207-6114

Phone 928-238-0156

Mailing address

8759 E Kiva Ave
Mesa, AZ 85209-5312

Phone 928-238-0156

Authorized official

Aubrey Rae Laird
Owner
9282380156

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