Organization
TREE OF LIFE ARIZONA LLC
Active
Parent organization
TREE OF LIFE ARIZONA LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
TREE OF LIFE ARIZONA LLC
Authorized official
JESSICA P PATTERSON (ADMINISTRATOR)
(480) 241-9963
Entity
Organization
Contact information
Practice address
2935 E DARTMOUTH ST, MESA, AZ 85213-6907
(480) 241-9963
(480) 350-7960
Mailing address
PO BOX 2367, MESA, AZ 85214-2367
(480) 284-6498
(480) 350-7960
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
BH5139
AZ
Other
Enumeration date
06/27/2017
Last updated
09/06/2023
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