| Ncl Vista School Based | |
|
200 Michigan Ave Vista CA 92084-5424 | |
| (760) 726-4900 | |
| (760) 631-0778 |
| Full Name | Ncl Vista School Based |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 200 Michigan Ave, Vista, California |
| Authorized Official Name and Position | Deborah M Shriver (DIRECTOR OF BEHAVIORAL HEALTH) |
| Authorized Official Contact | 7607570118 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ncl Vista School Based 200 Michigan Ave Vista CA 92084-5424 Ph: (760) 726-4900 | Ncl Vista School Based 200 Michigan Ave Vista CA 92084-5424 Ph: (760) 726-4900 |
| NPI Number | 1730336520 |
|---|---|
| Provider Enumeration Date | 08/22/2008 |
| Last Update Date | 08/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730336520 | NPI | - | NPPES |
| 37FX | Other | CA | DMH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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