NPI 1558706515

One Tree INC

Organisation Physical Disabilities Residential Treatment Facility Phoenix, AZ

Practice location

Address: 2423 W Dunlap Ave, Phoenix, AZ 85021-2830
Phone: (619) 772-6450
Mailing address: PO Box 12262, El Cajon, CA 92022-2262

Authorised official

Name: Brett E Henderson
Title: Ceo
Phone: (619) 772-6450

Registered specialties

Physical Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320700000X Licence G36137 (AZ)

Other Residential Treatment Facility, Physical Disabilities providers in Arizona →

Registry record

NPI: 1558706515
Entity type: Organization
NPI issued: 5 May 2013
Record last updated: 5 May 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.