| Vista Guidance Centers, In.c | |
|
939 N D St San Bernardino CA 92418-0001 | |
| (909) 381-5100 | |
| (909) 381-5101 |
| Full Name | Vista Guidance Centers, In.c |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 939 N D St, San Bernardino, California |
| Authorized Official Name and Position | Sonia Jenny 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, In.c Po Box 7369 Redlands CA 92375-0369 Ph: (909) 335-7067 | Vista Guidance Centers, In.c 939 N D St San Bernardino CA 92418-0001 Ph: (909) 381-5100 |
| NPI Number | 1124158498 |
|---|---|
| Provider Enumeration Date | 03/06/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124158498 | NPI | - | NPPES |
| 3694 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 360023DN (California) | Primary |
| 251S00000X | Community/behavioral Health | (California) | Primary |
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