| Organization Name: | VISTA CARE, LLC |
| NPI Number: | 1366529414 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BROOKE E BALCH (CFO OF THREE SPRINGS INC.) |
| Mailing Address: | Navajo Route 7 Westside Presbyterian Church Chinle |
| State: | AZ US |
| Postal Code: | 86503 |
| Phone Number: | 9286743818 |
| Fax Number: | 9286745814 |
| NPI Enumeration Date: | 11/01/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM0850X |
| License Number: | NAVAJO NATION WAIVER |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | AZ |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Adult Mental Health |
| Taxonomy Definition: | An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |