Organization Name: | VISTA BEHAVIORAL HEALTH ASSOCIATES, INC |
NPI Number: | 1285930768 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LORI J ZAREMBA (OFFICE MANAGER) |
Mailing Address: | 1370 Washington Pike Suite 303 Bridgeville |
State: | PA US |
Postal Code: | 150172862 |
Phone Number: | 4122060123 |
Fax Number: | 4122060128 |
NPI Enumeration Date: | 02/01/2011 |
NPI Last Update Date: | 02/01/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |