St. Mary's Home

NPI #1427167444 in Mobile, Alabama

Provider Information

NPI Number: 1427167444
Entity Type: Organization
Organization Name: St. Mary's Home
Primary Specialty: Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date: Aug 30, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 4350 MOFFETT RD
City: Mobile
State: Alabama
ZIP Code: 36618-1719
Phone: (251) 344-7733

Authorized Official

Name: MR. PHILLIP ANDREW WYNNE, MSW
Title: ADMININSTRATOR
Phone: (251) 344-7733

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Emotionally Disturbed Children	322D00000X	Primary

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