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Soba Mesa LLC

Substance Abuse Rehabilitation Facility in Mesa, AZ · enumerated 2016 · authorized official Audrey Graham, Cfo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1144670951

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Registry record

Entity type Organization (Type 2)
Legal business name Soba Mesa LLC
Other name <Unavail>
Practice address 6262 E Broadway Rd Ste 110, Mesa, AZ, 85206
Phone (480) 664-4053
Enumeration date Jun 13, 2016
Last updated in NPPES Jun 9, 2026

Taxonomy & classification

261QM0801X Mental Health Clinic/Center (Including Community Mental Health Center) Ambulatory Health Care Facilities Secondary
261QM0850X Adult Mental Health Clinic/Center Ambulatory Health Care Facilities Secondary
261QR0405X Substance Use Disorder Rehabilitation Clinic/Center Ambulatory Health Care Facilities · License OTC6989 (AZ) Secondary
324500000X Substance Abuse Rehabilitation Facility Residential Treatment Facilities Primary

Authorized official

Name Audrey Graham
Title Cfo
Phone (310) 457-5250

Other identifiers

Identifier Type State Issuer
03D2084103 Other AZ CLIA

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Soba Mesa LLC?
NPPES lists Audrey Graham (Cfo) as the authorized official for this organization.
What is the NPI number for Soba Mesa LLC?
The NPI for Soba Mesa LLC is 1144670951, a Type 2 (organization) record in the CMS NPPES registry.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-06-09.