| Vista Guidance Centers, Inc. | |
|
15447 Anacapa Rd Ste 104 Victorville CA 92392-2481 | |
| (760) 245-9446 | |
| (760) 951-8986 |
| Full Name | Vista Guidance Centers, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 15447 Anacapa Rd Ste 104, Victorville, 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, Inc. Po Box 7369 Redlands CA 92375-0369 Ph: (909) 335-7067 | Vista Guidance Centers, Inc. 15447 Anacapa Rd Ste 104 Victorville CA 92392-2481 Ph: (760) 245-9446 |
| NPI Number | 1518097799 |
|---|---|
| Provider Enumeration Date | 03/06/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518097799 | NPI | - | NPPES |
| 36AD | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 360023EN (California) | Primary |
| 251S00000X | Community/behavioral Health | (California) | Primary |
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