Organization
ACHIEVE RESIDENTIAL LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUBREY RAE LAIRD LAC (OWNER)
(928) 238-0156
Entity
Organization
Contact information
Practice address
9375 E DALLAS ST, MESA, AZ 85207-6114
(928) 238-0156
Mailing address
8759 E KIVA AVE, MESA, AZ 85209-5312
(928) 238-0156
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/19/2021
Last updated
10/19/2021
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