Organization · Type 2 NPI
Tree of Life Arizona LLC
Emotionally Disturbed Childrens' Residential Treatment Facility · Mesa, AZ
Practice location
1659 E Draper Cir
Mesa, AZ 85203-6628
Fax (480) 350-7960
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility Primary | 322D00000X | BH4477 (AZ) |
Emotionally Disturbed Childrens' Residential Treatment Facility: 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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About NPI 1891193256
Tree of Life Arizona LLC's National Provider Identifier is 1891193256, issued on Dec 16, 2014. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Mesa, AZ. The record was last updated on Dec 16, 2014.