Organization
TREE OF LIFE ARIZONA LLC
Active
Other names
Tree of Life Arizona
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FLOYD PATTERSON II (FOUNDER/CEO)
(480) 284-6498
Entity
Organization
Contact information
Practice address
1659 E DRAPER CIR, MESA, AZ 85203-6628
(480) 284-6498
(480) 350-7960
Mailing address
1659 E DRAPER CIR, MESA, AZ 85203-6628
(480) 284-6498
(480) 350-7960
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
BH4477
AZ
Other
Enumeration date
12/16/2014
Last updated
12/16/2014
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