| Organization Name: | CLINICA SIERRA VISTA |
| NPI Number: | 1265652697 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | STEPHEN W SCHILLING (CEO) |
| Mailing Address: | 3717 Mount Pinos Way Suite C - D Frazier Park |
| State: | CA US |
| Postal Code: | 93225 |
| Phone Number: | 6612450250 |
| Fax Number: | 6612450252 |
| NPI Enumeration Date: | 04/26/2007 |
| NPI Last Update Date: | 01/13/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |