NPI 1891193256

Tree of Life Arizona LLC

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Mesa, AZ

Practice location

Address: 1659 E Draper Cir, Mesa, AZ 85203-6628
Phone: (480) 284-6498
Fax: (480) 350-7960

Authorised official

Name: Floyd Patterson
Title: Founder/Ceo
Phone: (480) 284-6498

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence BH4477 (AZ)

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Registry record

NPI: 1891193256
Entity type: Organization
NPI issued: 16 Dec 2014
Record last updated: 16 Dec 2014

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.