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Vista Maria
Emotionally Disturbed Childrens' Residential Treatment Facility in Dearborn Heights, Michigan
NPI 1477639458

Vista Maria is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Dearborn Heights, MI. Vista Maria practices in Dearborn Heights, MI. The NPI Number for Vista Maria is 1477639458 and holds a License No. 43 01 052026 (Michigan).

The current practice location address for Vista Maria is 20651 W Warren Ave, Dearborn Heights, MI and can be reached out via phone at 313-271-3050 and via fax at 313-336-3460.

Location: 20651 W Warren Ave, Dearborn Heights, MI, 48127-2622
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1477639458
Provider Name
Vista Maria
Credential
Provider Entity Type
Organization
Address
20651 W Warren Ave, Dearborn Heights, MI, 48127-2622
Phone Number
313-271-3050
Fax Number
313-336-3460
Provider Enumeration Date
10/31/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3241311 05 MI
4512114 05 MI
4652830 05 MI
4646898 05 MI
institution
Provider Business Practice Location Address Details
Address
20651 W Warren Ave
City
Dearborn Heights
State
Michigan
Zip
48127-2622
Phone Number
313-271-3050
Fax Number
313-336-3460
person
Provider Business Mailing Address Details
Address
20651 W Warren Ave
City
Dearborn Heights
State
Michigan
Zip
48127-2622
Phone Number
313-271-3050
Fax Number
313-336-3460
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
43 01 052026 (Michigan)
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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