NPI 1427167444

St. Mary's Home

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Mobile, AL

Practice location

Address: 4350 Moffett Rd, Mobile, AL 36618-1719
Phone: (251) 344-7733
Fax: (251) 344-9753

Authorised official

Name: Phillip Andrew Wynne
Title: Admininstrator
Phone: (251) 344-7733

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence 000228 (AL)

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Registry record

NPI: 1427167444
Entity type: Organization
NPI issued: 30 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.