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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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