MARY'S MISSION & DEVELOPMENTAL CENTER INC. NPI 1336250190

NPI Information

MARY'S MISSION & DEVELOPMENTAL CENTER, INC. is a residential treatment facility emotionally disturbed children in Hereford, AZ. The provider is 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. MARY'S MISSION & DEVELOPMENTAL CENTER, INC. NPI is 1336250190. The provider is registered as an organization entity type.

The provider's business location address is:

8360 S HIGHWAY 92
HEREFORD, AZ
ZIP 85615-087
Phone: (520) 378-5175
Fax: (520) 459-3642

The provider's authorized official is William Lacey .
The authorized official title is Ceo/administrator and has the following contact phone number (520) 417-2115.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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