Organization · Type 2 NPI
Soba Mesa LLC
Substance Abuse Rehabilitation Facility · Mesa, AZ
NPI number
1144670951
Active
Practice location
6262 E Broadway Rd Ste 110
Mesa, AZ 85206-6101
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | None listed |
| Adult Mental Health Clinic/Center | 261QM0850X | None listed |
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | OTC6989 (AZ) |
| Substance Abuse Rehabilitation Facility Primary | 324500000X | None listed |
Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
2 other providers at this address
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- Monument Recovery Services LLCSubstance Abuse Rehabilitation Facility Mesa, AZ NPI 1124717517
About NPI 1144670951
Soba Mesa LLC's National Provider Identifier is 1144670951, issued on Jun 13, 2016. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Mesa, AZ. The record was last updated on Oct 27, 2026.