| Vista Guidance Centers, Inc. | |
|
34324 Yucaipa Blvd Suite B-d Yucaipa CA 92399-2496 | |
| (909) 790-1300 | |
| (909) 797-9687 |
| Full Name | Vista Guidance Centers, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 34324 Yucaipa Blvd, Yucaipa, California |
| Authorized Official Name and Position | Kathleen Darling (GERNERAL MANAGER) |
| Authorized Official Contact | 6063357067 |
| 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. 34324 Yucaipa Blvd Suite B-d Yucaipa CA 92399-2496 Ph: (909) 790-1300 |
| NPI Number | 1093845422 |
|---|---|
| Provider Enumeration Date | 03/06/2007 |
| Last Update Date | 06/01/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093845422 | NPI | - | NPPES |
| 3661 | Medicaid | CA | |
| 36A9 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 360023AN (California) | Secondary |
| 251S00000X | Community/behavioral Health | 240000192 (California) | Primary |
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