MARY'S MISSION & DEVELOPMENTAL CENTER, INC
Residential Treatment Facilities at Taylor Dr, Sierra Vista, AZ

License number
Arizona BH-1422
Category
Residential Treatment Facilities
Type
Residential Treatment Facility, Emotionally Disturbed Children
Owner
Name: MR. WILLIAM LACEY JR. MBA
Title: CEO/ADMINISTRATOR
Phone: (520) 417-2115
Address
Address
345 Taylor Dr, Sierra Vista, AZ 85635
National Provider ID: 1083725832
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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MARY'S MISSION & DEVELOPMENTAL CENTER, INC

Sierra Vista, AZ  -  Las Vegas, NV

Registration:
Jun 4, 2004
Addresses:
345 Taylor Dr, Sierra Vista, AZ 85635 (Physical)
101 Convention Ctr Dr #701, Las Vegas, NV 89109 (Foreign)
State ID:
F-1136243-3
Expiration:
PERPETUAL
Treasurers:
William Lacey (President), 3925 Fiscus Loop, Sierra Vista, AZ 85635 (Physical),Juanita Lopez (Treasurer), 3566 Wheelan Loop, Sierra Vista, AZ 85635 (Physical)
Business type:
OTHER

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