Organization · Type 2 NPI

Mary's Shelter

Emotionally Disturbed Childrens' Residential Treatment Facility · Santa Ana, CA

NPI number 1508356502 Active

Practice location

18241 E 17th St
Santa Ana, CA 92705-2676

Call (714) 730-0930 Map

Mailing address

18221 E 17th St
Santa Ana, CA 92705-2676

Specialties and licenses

TaxonomyCodeLicense
Emotionally Disturbed Childrens' Residential Treatment Facility Primary 322D00000XNone listed

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.

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About NPI 1508356502

Mary's Shelter's National Provider Identifier is 1508356502, issued on May 15, 2018. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Santa Ana, CA. The record was last updated on Mar 16, 2021.