NPI 1083725832

Mary's Mission & Developmental Center, INC

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Sierra Vista, AZ

Practice location

Address: 345 Taylor Dr, Sierra Vista, AZ 85635-3801
Phone: (520) 417-2115
Fax: (520) 417-2114

Authorised official

Name: William Lacey
Title: Ceo/Administrator
Phone: (520) 417-2115

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence BH-1422 (AZ)

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

Registry record

NPI: 1083725832
Entity type: Organization
NPI issued: 31 Aug 2006
Record last updated: 22 Aug 2020

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.