MESA DETOX LLC
NPI 1396544938
Clinic/Center - Rehabilitation, Substance Use Disorder in Mesa, AZ

Active since March 07, 2025
1132 S OAKLAND, MESA, AZ 85206(480) 418-1754 Get Directions Write a Review

NPPES record last updated: March 7, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mesa Detox Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MESA DETOX LLC (NPI 1396544938) is a healthcare organization registered as a rehabilitation, substance use disorder in Mesa, Arizona and active in the NPI registry since March 2025. The organization lists Quinn Mccullough, Ceo, as its authorized official.

NPPES Registry Identity

NPI1396544938
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameMESA DETOX LLC
Location Address1132 S OAKLANDMesa, AZ 85206-2682
Mailing Address1132 S OaklandMesa, AZ 85206-2682
Organization SubpartNo
Authorized OfficialQuinn McculloughCeo · (480) 418-1754
Enumeration DateMarch 7, 2025
NPPES CertifiedMarch 7, 2025
NPI 1396544938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
1132 S OAKLAND, Mesa, AZ 85206

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Substance Abuse Rehabilitation Facility
1132 S OAKLAND
MESA, AZ 85206
Psychiatric Residential Treatment Facility
1132 S OAKLAND
MESA, AZ 85206
Substance Abuse Rehabilitation Facility
1132 S OAKLAND
MESA, AZ 85206

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mesa Detox LLC's NPI number?

The NPI number for Mesa Detox LLC is 1396544938. It was assigned to this organization in the NPPES registry on March 7, 2025.

Where is Mesa Detox LLC located?

Mesa Detox LLC is located at 1132 S Oakland, Mesa, AZ 85206. The listed phone number is (480) 418-1754.

What is Mesa Detox LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

When was this NPI record last updated?

The NPPES record for Mesa Detox LLC was last updated on March 7, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.