NPI 1013117613

Vision Group Home

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Phoenix, AZ

Practice location

Address: 714 W Saint Kateri Dr, Phoenix, AZ 85041-5961
Phone: (623) 308-5414
Fax: (602) 232-2196

Authorised official

Name: Keturah Ann Mattox
Title: Executive Director/Ceo
Phone: (623) 308-5414

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence BH2597 (AZ)

Other Residential Treatment Facility, Emotionally Disturbed Children providers in Arizona →

Registry record

NPI: 1013117613
Entity type: Organization
NPI issued: 20 Jul 2007
Record last updated: 20 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.