| Agave Ridge Behavioral Hospital | |
|
3322 South Ellsworth Rd Mesa AZ 85212 | |
| (623) 254-7220 | |
| Not Available |
| Full Name | Agave Ridge Behavioral Hospital |
|---|---|
| Speciality | Psychiatric Hospital |
| Location | 3322 South Ellsworth Rd, Mesa, Arizona |
| Authorized Official Name and Position | Brian P. Farley (VICE PRESIDENT AND SECRETARY) |
| Authorized Official Contact | 6158616000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Agave Ridge Behavioral Hospital 4020 Aspen Grove Dr Ste 900 Franklin TN 37067-3134 Ph: (615) 861-6000 | Agave Ridge Behavioral Hospital 3322 South Ellsworth Rd Mesa AZ 85212 Ph: (623) 254-7220 |
| NPI Number | 1013789668 |
|---|---|
| Provider Enumeration Date | 10/26/2023 |
| Last Update Date | 12/30/2025 |
| Certification Date | 12/30/2025 |
| Medicare PECOS PAC ID | 7315383957 |
|---|---|
| Medicare Enrollment ID | O20240306001539 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013789668 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | () | Secondary |
| 283Q00000X | Psychiatric Hospital | () | Primary |
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