| NPI | 1083364665 |
|---|---|
| Doing Business As | FELLOWSHIP SQUARE-MESA |
| Entity Type | Organization |
| Authorized Contact | JON SCOTT WILLIAMS Executive Director 480-861-0340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Enumeration Date | 2022-03-25 |
| Last Update Date | 2022-03-25 |