Organization
RESIDENTS AT THE HEIGHTS LLC
Active
Parent organization
RESIDENTS AT THE HEIGHTS LLC
Other names
Unhooked at the Heights
Organization subpart
Yes
Provider details
NPI number
Legal business name
RESIDENTS AT THE HEIGHTS LLC
Authorized official
MARY GRACE LEACH (CEO)
(602) 368-8203
Entity
Organization
Contact information
Practice address
5801 E MAIN ST, MESA, AZ 85205-8851
(602) 368-3114
(888) 972-9788
Mailing address
3602 E GREENWAY RD STE 104, PHOENIX, AZ 85032-4648
(602) 368-8203
(602) 368-8211
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OTC8147
ARIZONA DEPARTMENT OF HEALTH SERVICES LICENSE
AZ
Enumeration date
10/16/2018
Last updated
10/16/2018
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