OrganizationActive
Mary'S Mission & Developmental Center, Inc
NPI 1083725832 · Emotionally Disturbed Childrens' Residential Treatment Facility · Sierra Vista, AZ
Provider details
- NPI number
- 1083725832
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- William Lacey, Ceo/Administrator(520) 417-2115
- License
- BH-1422 (AZ)
Specialties & taxonomies
- Emotionally Disturbed Childrens' Residential Treatment FacilityPrimary322D00000XLicense BH-1422 (AZ)
Residential Treatment Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
345 Taylor Dr
Sierra Vista, AZ 85635-3801
Phone: (520) 417-2115
Fax: (520) 417-2114
Street-level locationGet directions
Mailing address
345 Taylor Dr
Sierra Vista, AZ 85635-3801
Registry dates
- Enumerated
- 2006-08-31
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.