101 WALL SUPPORT SERVICES LLC
Agencies at Stapley Dr, Mesa, AZ

License number
Arizona BH-4204
Category
Agencies
Type
Community/Behavioral Health
Owner
Name: MR. JONATHAN CHRISTAIN TAYLOR
Title: CHIEF EXECUTIVE OFFICER
Phone: (480) 285-9426
Address
Address
919 N Stapley Dr SUITE M, Mesa, AZ 85203
National Provider ID: 1568804342
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about 101 WALL SUPPORT SERVICES LLC at bizstanding.com

101 WALL SUPPORT SERVICES LLC

Mesa, AZ  -  Queen Creek, AZ

Status:
Inactive
Industry:
Individual/Family Services, Services-Misc
Registration:
May 18, 2010
Addresses:
1137 E Glencove St, Mesa, AZ 85203 (Physical)
21117 E Pickett St, Queen Creek, AZ 85142
919 N Stapley Dr, Mesa, AZ 85203
State ID:
L-1603785-9
Expiration:
PERPETUAL
Principals:
Jonathan Taylor (Manager, Chief Executive Officer), 1137 E Glencove St, Mesa, AZ 85203 (Physical),Jeff Sarpy (Principal)

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