Vista Maria
NPI #1477639458 in Dearborn Heights, Michigan
Provider Information
- NPI Number
- 1477639458
- Entity Type
- Organization
- Organization Name
- Vista Maria
- Primary Specialty
- Residential Treatment Facility, Emotionally Disturbed Children
- Enumeration Date
- Oct 31, 2006
- Last Updated
- Apr 7, 2008
Practice Location
- Address
- 20651 W WARREN AVE
- City
- Dearborn Heights
- State
- Michigan
- ZIP Code
- 48127-2622
- Phone
- (313) 271-3050
Authorized Official
- Name
- MR. EARL GODDIN
- Title
- CHIEF FINANCIAL OFFICER
- Phone
- (313) 271-3050
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Emotionally Disturbed Children |
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