TREE OF LIFE ARIZONA
NPI 1891193256
Residential Treatment Facility, Emotionally Disturbed Children in Mesa, AZ
- Organization
- Residential Treatment Facility, Emotiona...
About TREE OF LIFE ARIZONA
This page provides the complete NPI Profile along with additional information for Tree Of Life Arizona, a provider established in Mesa, Arizona operating as a Residential Treatment Facility, Emotionally Disturbed Children. The healthcare provider is registered in the NPI registry with number 1891193256 assigned on December 2014. The practitioner's primary taxonomy code is 322D00000X with license number BH4477 (AZ). The provider is registered as an organization and their NPI record was last updated 12 years ago. The provider's is doing business as Tree Of Life Arizona. The authorized official of this NPI record is Mr. Floyd Patterson Ii (Founder/ceo)
- NPI
- 1891193256 Verify this NPI
- Provider Legal Name
- TREE OF LIFE ARIZONA LLC
- Other Organization Name
- TREE OF LIFE ARIZONA
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1659 E DRAPER CIR MESA, AZ 85203
- Location Phone
- (480) 284-6498
- Location Fax
- (480) 350-7960
- Mailing Address
- 1659 E DRAPER CIR MESA, AZ 85203
- Mailing Phone
- (480) 284-6498
- Mailing Fax
- (480) 350-7960
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-16-2014
- Last Update Date
- 12-16-2014
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Residential Treatment Facility, Emotionally Disturbed Children
- Taxonomy Code
- 322D00000X
- Type
- Residential Treatment Facilities
- License No.
- BH4477
- License State
- AZ
- Taxonomy Description
- A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1891193256, enumerated as an "organization" on December 16, 2014.
The provider is located at 1659 E DRAPER CIR MESA, AZ 85203 and the phone number is (480) 284-6498.
Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.
