institution
Alta Vista Group Home
Emotionally Disturbed Childrens' Residential Treatment Facility in Hereford, Arizona
NPI 1215038757

Alta Vista Group Home is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Hereford, AZ. Alta Vista Group Home practices in Hereford, AZ. The NPI Number for Alta Vista Group Home is 1215038757 and holds a License No. BH2414 (Arizona).

The current practice location address for Alta Vista Group Home is 4108 E Ramsey Rd, Hereford, AZ and can be reached out via phone at 520-378-6466 and via fax at 520-378-6553.

Location: 4108 E Ramsey Rd, Hereford, AZ, 85615-8917
institution
Provider Profile Details
NPI Number
1215038757
Provider Name
Alta Vista Group Home
Credential
Provider Entity Type
Organization
Address
4108 E Ramsey Rd, Hereford, AZ, 85615-8917
Phone Number
520-378-6466
Fax Number
520-378-6553
Provider Enumeration Date
09/26/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
4108 E Ramsey Rd
City
State
Zip
85615-8917
Phone Number
520-378-6466
Fax Number
520-378-6553
person
Provider Business Mailing Address Details
Address
4108 E Ramsey Rd
City
State
Zip
85615-8917
Phone Number
520-378-6466
Fax Number
520-378-6553
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
License No.
BH2414 (Arizona)
Definition
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.
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