Organization · Type 2 NPI
Alta Vista Group Home
Emotionally Disturbed Childrens' Residential Treatment Facility · Hereford, AZ
Practice location
4108 E Ramsey Rd
Hereford, AZ 85615-8917
Fax (520) 378-6553
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility Primary | 322D00000X | BH2414 (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.
Other emotionally disturbed childrens' residential treatment facility providers in Hereford
About NPI 1215038757
Alta Vista Group Home's National Provider Identifier is 1215038757, issued on Sep 26, 2006. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Hereford, AZ. The record was last updated on Aug 22, 2020.