101 WALL SUPPORT SERVICES LLC
Organization (NPI-2)
Active
Community/Behavioral Health
Provider Information
- NPI Number
1568804342- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 919 N STAPLEY DR SUITE M, MESA, AZ, 852035639
- Phone
- (480) 285-9426
- Fax
- (480) 907-1358
Specialties & Taxonomies
Community/Behavioral Health
Primary License: AZ #BH-4204