MARY'S MISSION OUTPATIENT CLINIC
NPI 1114221645
Community/Behavioral Health in Mesa, AZ

Q: What is Mary's Mission And Developmental Center's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Active since December 23, 2010

736 N COUNTRY CLUB DR, MESA, AZ 85201(480) 844-0011 Get Directions Write a Review

NPPES record last updated: December 23, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mary's Mission Outpatient Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY'S MISSION OUTPATIENT CLINIC (NPI 1114221645) is a healthcare organization registered as a community/behavioral health in Mesa, Arizona and active in the NPI registry since December 2010. The organization lists William Lacey, Ceo, as its authorized official.

NPPES Registry Identity

NPI1114221645

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameMARY'S MISSION AND DEVELOPMENTAL CENTER

Location Address736 N COUNTRY CLUB DRMesa, AZ 85201-4936

Mailing Address736 N Country Club DrMesa, AZ 85201-4936 · (480) 844-0011

Phone(480) 844-0011

Organization SubpartNo

Authorized OfficialWilliam LaceyCeo · (480) 844-0022

Enumeration DateDecember 23, 2010

✔ NPI 1114221645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

License✔ Licensed in AZ · BH-3732

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

736 N COUNTRY CLUB DR, Mesa, AZ 85201

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Other Names 1

Doing Business AsMary's Mission Outpatient Clinic

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EAST MESA PHYSICAL THERAPY AND REHAB SPECIALISTS

Physical Therapist

736 N COUNTRY CLUB DR
MESA, AZ 85201

Maricopa County (877) 552-2996

MARY'S MISSION & DEVELOPMENTAL CENTER, INC.

Community/Behavioral Health

736 N COUNTRY CLUB DR
MESA, AZ 85201

Maricopa County (520) 417-2115

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary's Mission And Developmental Center's NPI number?

The NPI number for Mary's Mission And Developmental Center is 1114221645. It was assigned to this organization in the NPPES registry on December 23, 2010. The provider is doing business as Mary's Mission Outpatient Clinic.

Where is Mary's Mission And Developmental Center located?

Mary's Mission And Developmental Center is located at 736 N Country Club Dr, Mesa, AZ 85201. The listed phone number is (480) 844-0011.

What is Mary's Mission And Developmental Center's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Mary's Mission And Developmental Center was last updated on December 23, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.