Vista Maria
Vista Maria is an Emotionally Disturbed Childrens' Residential Treatment Facility in Dearborn Heights, Michigan. Licensed in Michigan. Registered with an NPI since 2006.
- Licensed in
- MI
- In the registry since
- 2006
- Specialties on file
- 4
Practice location Address checks out
20651 W Warren AveDearborn Heights, MI 48127-2622
Phone: (313) 271-3050
Fax: (313) 336-3460
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Emotionally Disturbed Childrens' Residential Treatment Facility (primary) | Taxonomy 322D00000X · Licence 43 01 070436 (MI) |
|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility | Taxonomy 322D00000X · Licence 43 01 052026 (MI) |
| Emotionally Disturbed Childrens' Residential Treatment Facility | Taxonomy 322D00000X · Licence 43 01 032319 (MI) |
| Emotionally Disturbed Childrens' Residential Treatment Facility | Taxonomy 322D00000X · Licence 43 01 036786 (MI) |
Record details
| NPI number | 1477639458 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Earl Goddin — Chief Financial Officer · (313) 271-3050 |
| NPI enumerated | October 31, 2006 |
| Last updated in NPPES | April 7, 2008 |
| Mailing address | 20651 W Warren St, Dearborn Heights, MI 48127-2622 |