VISTA MARIA NPI 1477639458

NPI Information

VISTA MARIA is a residential treatment facility emotionally disturbed children in Dearborn Heights, MI. 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. VISTA MARIA NPI is 1477639458. The provider is registered as an organization entity type.

The provider's business location address is:

20651 W WARREN AVE
DEARBORN HEIGHTS, MI
ZIP 48127-622
Phone: (313) 271-3050
Fax: (313) 336-3460

The provider's authorized official is Earl Goddin .
The authorized official title is Chief Financial Officer and has the following contact phone number (313) 271-3050.

The enumeration date for this NPI number is 10/31/2006 and was last updated on 4/7/2008.

Taxonomy Codes

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