# TREE OF LIFE ARIZONA LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Tree of Life Arizona
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891193256
- **Authorized official:** MR. FLOYD PATTERSON II (FOUNDER/CEO)
- **Authorized official phone:** (480) 284-6498

## Contact information

- **Practice address:** 1659 E DRAPER CIR, MESA, AZ 85203-6628
- **Practice address phone:** (480) 284-6498
- **Practice address fax:** (480) 350-7960
- **Mailing address:** 1659 E DRAPER CIR, MESA, AZ 85203-6628
- **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 | BH4477 | AZ | Yes |

## Other

- **Enumeration date:** 12/16/2014
- **Last updated:** 12/16/2014