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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