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 P. FARLEY (VICE PRESIDENT AND SECRETARY)
(615) 861-6000
Entity
Organization
Contact information
Practice address
3322 SOUTH ELLSWORTH RD, MESA, AZ 85212
(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)
—
—
283Q00000X
Psychiatric Hospital
Primary
—
—
Other
Enumeration date
10/26/2023
Last updated
12/30/2025
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