# VISION GROUP HOME

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497032668
- **Authorized official:** MRS. KETURAH MATTOX SHARPE MBA, M ED, M.A. (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (623) 308-5414

## Contact information

- **Practice address:** 2917 W BOWKER ST, PHOENIX, AZ 85041-3477
- **Practice address phone:** (623) 308-5414
- **Practice address fax:** (602) 305-8619
- **Mailing address:** 2917 W BOWKER ST, PHOENIX, AZ 85041-3477
- **Mailing address phone:** (623) 308-5414
- **Mailing address fax:** (602) 305-8619

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | BH3356 | AZ | Yes |

## Other

- **Enumeration date:** 11/15/2011
- **Last updated:** 11/15/2011