| Vista Guidance Centers, Inc. | |
|
790 Beaumont Ave Ste 210 Beaumont CA 92223-5900 | |
| (951) 769-7436 | |
| (951) 769-7486 |
| Full Name | Vista Guidance Centers, Inc. |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 790 Beaumont Ave Ste 210, Beaumont, California |
| Authorized Official Name and Position | Sonia J. Borja (DIRECTOR OF FINANCE) |
| Authorized Official Contact | 9093357067 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vista Guidance Centers, Inc. Po Box 7369 Redlands CA 92375-0369 Ph: (909) 335-7067 | Vista Guidance Centers, Inc. 790 Beaumont Ave Ste 210 Beaumont CA 92223-5900 Ph: (951) 769-7436 |
| NPI Number | 1407973514 |
|---|---|
| Provider Enumeration Date | 03/23/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407973514 | NPI | - | NPPES |
| 3383 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 330070AN (California) | Primary |
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