# TREE OF LIFE ARIZONA LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** TREE OF LIFE ARIZONA LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1144740572
- **Legal business name:** TREE OF LIFE ARIZONA LLC
- **Authorized official:** JESSICA P PATTERSON (ADMINISTRATOR)
- **Authorized official phone:** (480) 241-9963

## Contact information

- **Practice address:** 2935 E DARTMOUTH ST, MESA, AZ 85213-6907
- **Practice address phone:** (480) 241-9963
- **Practice address fax:** (480) 350-7960
- **Mailing address:** PO BOX 2367, MESA, AZ 85214-2367
- **Mailing address phone:** (480) 284-6498
- **Mailing address fax:** (480) 350-7960

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | BH5139 | AZ | Yes |

## Other

- **Enumeration date:** 06/27/2017
- **Last updated:** 09/06/2023