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101 Wall Support Services LLC — NPI 1568804342, Mesa, AZ | NPI Central

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101 Wall Support Services LLC

NPI 1568804342 · Community/Behavioral Health Agency · Mesa, AZ

Provider details

NPI number: 1568804342
Entity type: Organization
Primary specialty: Community/Behavioral Health AgencyAgencies
Authorized official: Jonathan Taylor, Chief Executive Officer
License: BH-4204 (AZ)

Practice location

919 N Stapley Dr

Suite M

Mesa, AZ 85203-5639

Phone: (480) 285-9426

Fax: (480) 907-1358

More AZ providers

Mailing address

919 N Stapley Dr

Mesa, AZ 85203-5639

Registry dates

Enumerated: 2013-07-23
Last updated: 2013-07-23

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.