NPI 1003344367

Ptl Behavioral Health, LLC

Organisation Mental Illness Community Based Residential Treatment Facility Mesa, AZ

Practice location

Address: 10839 E Sonrisa Ave, Mesa, AZ 85212-5126
Phone: (480) 485-6075
Fax: (480) 485-6865

Authorised official

Name: Stephen Kissi Lauder
Title: Administrator
Phone: (480) 516-9075

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X

Other Community Based Residential Treatment Facility, Mental Illness providers in Arizona →

Registry record

NPI: 1003344367
Entity type: Organization
NPI issued: 31 May 2017
Record last updated: 21 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.