Mary's Mission & Developmental Center, INC
NPI #1083725832 in Sierra Vista, Arizona
Provider Information
- NPI Number
- 1083725832
- Entity Type
- Organization
- Organization Name
- Mary's Mission & Developmental Center, INC
- Primary Specialty
- Residential Treatment Facility, Emotionally Disturbed Children
- Enumeration Date
- Aug 31, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 345 TAYLOR DR
- City
- Sierra Vista
- State
- Arizona
- ZIP Code
- 85635-3801
- Phone
- (520) 417-2115
Authorized Official
- Name
- MR. WILLIAM LACEY JR., MBA
- Title
- CEO/ADMINISTRATOR
- Phone
- (520) 417-2115
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Emotionally Disturbed Children |
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