Healthcare Provider Details

I. General information

NPI: 1982560348
Provider Name (Legal Business Name): SOLSTEAD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/30/2025
Last Update Date: 12/30/2025
Certification Date: 12/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

449 N 100TH PL
MESA AZ
85207-7201
US

IV. Provider business mailing address

449 N 100TH PL
MESA AZ
85207-7201
US

V. Phone/Fax

Practice location:
  • Phone: 360-298-4324
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: SARAH VANDERVLIET
Title or Position: CEO
Credential:
Phone: 360-298-4324