<Unavail>
LBN: Soba Mesa Llc
<Unavail> is an health care organization with primary practice located at 6262 E Broadway Rd Ste 110 , Mesa AZ 85206-6101. The organization recently has 4 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Residential Treatment Facilities / Substance Abuse Rehabilitation Facility is the primary health care specialty.
Soba Mesa Llc can be contacted via phone (480) 664-4053, or through Graham, Audrey via phone (310) 457-5250.
Contact Information
Primary practice address
6262 E Broadway Rd Ste 110
Mesa AZ 85206-6101
Phone: (480) 664-4053
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | ||
| Ambulatory Health Care Facilities / Adult Mental Health | 261QM0850X | ||
| Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder | 261QR0405X | OTC6989 | Arizona |
| Residential Treatment Facilities / Substance Abuse Rehabilitation Facility | 324500000X |
Profile Details
| NPI number | 1144670951 |
|---|---|
| LBN Legal business name | Soba Mesa Llc |
| DBA Doing business as | <Unavail> |
| Authorized official | Graham, Audrey |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 13th, 2016 |
| Last updated | Jun 9th, 2026 - about 4 months ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144670951 | NPPES |
| Arizona | Other | 03D2084103 | CLIA |
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