Organization
RESIDENTS AT THE HEIGHTS LLC
Active
Parent organization
RESIDENTS AT THE HEIGHTS LLC
Other names
Unhooked Recovery Power Road
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
215 S POWER RD STE 1251, MESA, AZ 85206-5238
(602) 368-4471
(888) 974-1094
Mailing address
3602 E GREENWAY RD STE 104, PHOENIX, AZ 85032-4648
(602) 368-8203
(602) 368-8203
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BH5397
ARIZONA DEPARTMENT OF HEALTH SERVICES LICENSE NUMBER
AZ
Enumeration date
10/16/2018
Last updated
10/16/2018
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