MARY'S MISSION & DEVELOPMENTAL CENTER, INC.
NPI 1336250190
Residential Treatment Facility, Emotionally Disturbed Children in Hereford, AZ

Q: What is Mary's Mission & Developmental Center, Inc.'s specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

Active since August 31, 2006

8360 S HIGHWAY 92, HEREFORD, AZ 85615(520) 378-5175(520) 459-3642 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 11, 2026.

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About Mary's Mission & Developmental Center, Inc. NPPES

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

MARY'S MISSION & DEVELOPMENTAL CENTER, INC. (NPI 1336250190) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Hereford, Arizona and active in the NPI registry since August 2006. The organization lists William Lacey, Ceo/administrator, as its authorized official.

NPPES Registry Identity

NPI1336250190

Entity TypeOrganization

Primary Taxonomy322D00000X

Legal Business NameMARY'S MISSION & DEVELOPMENTAL CENTER, INC.

Location Address8360 S HIGHWAY 92Hereford, AZ 85615-9087

Mailing Address345 Taylor DrSierra Vista, AZ 85635-3801 · (520) 417-2115 · Fax (520) 417-2114

Phone(520) 378-5175

Fax(520) 459-3642

Organization SubpartNo

Authorized OfficialWilliam LaceyCeo/administrator · (520) 417-2115

Enumeration DateAugust 31, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1336250190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities

Taxonomy Code322D00000X

License✔ Licensed in AZ · BH-2206

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.

8360 S HIGHWAY 92, Hereford, AZ 85615

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma.Insurance ›

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 & Developmental Center, Inc.'s NPI number?

The NPI number for Mary's Mission & Developmental Center, Inc. is 1336250190. It was assigned to this organization in the NPPES registry on August 31, 2006.

Where is Mary's Mission & Developmental Center, Inc. located?

Mary's Mission & Developmental Center, Inc. is located at 8360 S Highway 92, Hereford, AZ 85615. The listed phone number is (520) 378-5175.

What is Mary's Mission & Developmental Center, Inc.'s specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

What insurance does Mary's Mission & Developmental Center, Inc. accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Mary's Mission & Developmental Center, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mary's Mission & Developmental Center, Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.