Organization · Type 2 NPI
Vista Maria
Emotionally Disturbed Childrens' Residential Treatment Facility · Dearborn Heights, MI
Practice location
20651 W Warren Ave
Dearborn Heights, MI 48127-2622
Fax (313) 336-3460
Mailing address
20651 W Warren St
Dearborn Heights, MI 48127-2622
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | 43 01 052026 (MI) |
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | 43 01 032319 (MI) |
| Emotionally Disturbed Childrens' Residential Treatment Facility Primary | 322D00000X | 43 01 070436 (MI) |
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | 43 01 036786 (MI) |
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.
About NPI 1477639458
Vista Maria's National Provider Identifier is 1477639458, issued on Oct 31, 2006. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Dearborn Heights, MI. The record was last updated on Apr 7, 2008.