OrganizationActive
Pride Family Ser
NPI 1699378091 · Comprehensive Outpatient Rehabilitation Facility (CORF) · Mesa, AZ
Provider details
- NPI number
- 1699378091
- Entity type
- Organization
- Primary specialty
- Comprehensive Outpatient Rehabilitation Facility (CORF)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Trandy Hester, Ceo(408) 687-3620
Specialties & taxonomies
Ambulatory Health Care Facilities
- Community/Behavioral Health Agency251S00000X
Agencies
- Adult Mental Health Clinic/Center261QM0850X
Ambulatory Health Care Facilities
Practice location
1255 W Baseline Rd # C-175
Mesa, AZ 85202-5820
Phone: (408) 687-3620
Fax: (480) 687-3769
Approximate (ZIP-level) locationGet directions
Mailing address
1255 W Baseline Rd # C-175
Mesa, AZ 85202-5820
Registry dates
- Enumerated
- 2020-11-18
- Last updated
- 2021-03-11
- Certified
- 2021-03-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.