| Vista Community Counseling | |
|
17053 E. Foothill Blvd. Building B Fontana CA 92335 | |
| (909) 347-1300 | |
| Not Available |
| Full Name | Vista Community Counseling |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 17053 E. Foothill Blvd., Fontana, California |
| Authorized Official Name and Position | Erica Ochoa (CHIEF COMPLIANCE OFFICER) |
| Authorized Official Contact | 9093880882 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vista Community Counseling 303 E Vanderbilt Way San Bernardino CA 92415-0026 Ph: (909) 388-0900 | Vista Community Counseling 17053 E. Foothill Blvd. Building B Fontana CA 92335 Ph: (909) 347-1300 |
| NPI Number | 1033320940 |
|---|---|
| Provider Enumeration Date | 05/24/2007 |
| Last Update Date | 09/07/2022 |
| Certification Date | 04/08/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033320940 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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