1477639458 VISTA MARIA

Emotionally Disturbed Childrens' Residential Treatment Facility

Active

Basic Information

Organization Name
VISTA MARIA
Enumeration Date
October 31, 2006
Last Update
April 7, 2008
Authorized Official
MR. EARL GODDIN
CHIEF FINANCIAL OFFICER
Phone: (313) 271-3050

Practice Location

Address
20651 W WARREN AVE
DEARBORN HEIGHTS, MI 481272622
Phone
(313) 271-3050
Fax
(313) 336-3460

Mailing Address

Address
20651 W WARREN ST
DEARBORN HEIGHTS, MI 481272622
Phone
(313) 271-3050
Fax
(313) 336-3460

Specialties & Taxonomies

Specialty Code Classification License State Primary
Emotionally Disturbed Childrens' Residential Treatment Facility
322D00000X Residential Treatment Facility, Emotionally Disturbed Children 43 01 052026 MI No
Emotionally Disturbed Childrens' Residential Treatment Facility
322D00000X Residential Treatment Facility, Emotionally Disturbed Children 43 01 032319 MI No
Emotionally Disturbed Childrens' Residential Treatment Facility
322D00000X Residential Treatment Facility, Emotionally Disturbed Children 43 01 036786 MI No
Emotionally Disturbed Childrens' Residential Treatment Facility
322D00000X Residential Treatment Facility, Emotionally Disturbed Children 43 01 070436 MI Primary

Other Identifiers

Identifier Type State Issuer
3241311 05 MI N/A
4512114 05 MI N/A
4652830 05 MI N/A
4646898 05 MI N/A

Frequently Asked Questions

What is VISTA MARIA's NPI number?
VISTA MARIA's NPI number is 1477639458.
Which doctor has NPI number 1477639458?
The doctor with NPI number 1477639458 is VISTA MARIA.
What is VISTA MARIA's practice address?
VISTA MARIA's practice address is 20651 W WARREN AVE, DEARBORN HEIGHTS, MI, 481272622.
Which doctor practices at 20651 W WARREN AVE, DEARBORN HEIGHTS, MI, 481272622?
VISTA MARIA practices at 20651 W WARREN AVE, DEARBORN HEIGHTS, MI, 481272622.
What is VISTA MARIA's mailing address?
VISTA MARIA's mailing address is 20651 W WARREN ST, DEARBORN HEIGHTS, MI, 481272622.
What is VISTA MARIA's phone number?
VISTA MARIA's phone number is (313) 271-3050.
Who is (313) 271-3050?
(313) 271-3050 is the phone number for VISTA MARIA.
What is VISTA MARIA's specialty?
VISTA MARIA's specialty is Emotionally Disturbed Childrens' Residential Treatment Facility.
What type of doctor is VISTA MARIA?
VISTA MARIA is a Emotionally Disturbed Childrens' Residential Treatment Facility.
Is VISTA MARIA a Residential Treatment Facility, Emotionally Disturbed Children?
Yes, VISTA MARIA is a Residential Treatment Facility, Emotionally Disturbed Children.
Is VISTA MARIA still practicing?
Yes, VISTA MARIA is currently practicing.
Is VISTA MARIA accepting new patients?
VISTA MARIA may be accepting new patients. Please call their office at (313) 271-3050 to inquire about availability.
Is NPI 1477639458 still active?
Yes, NPI 1477639458 is currently active.
Where does VISTA MARIA practice?
VISTA MARIA practices in DEARBORN HEIGHTS, MI.