Organization · Type 2 NPI
Mary's Mission & Developmental Center, Inc.
Emotionally Disturbed Childrens' Residential Treatment Facility · Hereford, AZ
Practice location
8360 S Highway 92
Hereford, AZ 85615-9087
Fax (520) 459-3642
Mailing address
345 Taylor Dr
Sierra Vista, AZ 85635-3801
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility Primary | 322D00000X | BH-2206 (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 1336250190
Mary's Mission & Developmental Center, Inc.'s National Provider Identifier is 1336250190, issued on Aug 31, 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.