| Organization Name: | VISTA GUIDANCE CENTERS, INC. |
| NPI Number: | 1093845422 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KATHLEEN DARLING (GERNERAL MANAGER) |
| Mailing Address: | 34324 Yucaipa Blvd Suite B-d Yucaipa |
| State: | CA US |
| Postal Code: | 923992496 |
| Phone Number: | 9097901300 |
| Fax Number: | 9097979687 |
| NPI Enumeration Date: | 03/06/2007 |
| NPI Last Update Date: | 06/01/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 360023AN |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |