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Organization
MESA DEVELOPMENT SUB, LLC
Active
Organization
MESA DEVELOPMENT SUB, LLC
Active
Other names
Agave Ridge Behavioral Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN PHILLIP FARLEY (VICE PRESIDENT & SECRETARY)
(615) 861-6000
Entity
Organization
Contact information
Practice address
3322 S ELLSWORTH RD, MESA, AZ 85212-2730
(623) 254-7220
Mailing address
4020 ASPEN GROVE DR STE 900, FRANKLIN, TN 37067-3134
(615) 861-6000
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/22/2025
Last updated
12/30/2025
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