Soba Recovery Center

LBN: Soba Mesa Llc
Soba Recovery Center is an health care organization with primary practice located at 6215 E Arbor Ave , Mesa AZ 85206-6064. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as 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
6215 E Arbor Ave Mesa AZ 85206-6064
Phone: (480) 664-4053
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Graham, Audrey
Phone: (310) 457-5250

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X IFBH7657 Arizona

Profile Details

NPI number 1326491283
LBN Legal business name Soba Mesa Llc
DBA Doing business as Soba Recovery Center
Authorized official Graham, Audrey
Entity Organization
Organization subpart 1 No
Enumeration date Jul 15th, 2016
Last updated Mar 28th, 2022 - about 4 years 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326491283 NPPES
California Other 03D2110429 CLIA

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