Organization Name: | VISTA GUIDANCE CENTERS, INC. |
NPI Number: | 1255461414 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SONIA JENNY BORJA (DIRECTOR OF FINANCE) |
Mailing Address: | 309 E Mountain View St Ste 100 Barstow |
State: | CA US |
Postal Code: | 923112814 |
Phone Number: | 7602560376 |
Fax Number: | 7602660377 |
NPI Enumeration Date: | 03/06/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 360023FN |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |