| Vista Recovery Center | |
|
939 N D St San Bernardino CA 92418-0001 | |
| (909) 381-5100 | |
| (909) 792-0033 |
| Full Name | Vista Recovery Center |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 939 N D St, San Bernardino, California |
| Authorized Official Name and Position | Maurine White (PROJECT MANAGER) |
| Authorized Official Contact | 9097920747 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vista Recovery Center Po Box 7369 Redlands CA 92375-0369 Ph: (909) 792-0747 | Vista Recovery Center 939 N D St San Bernardino CA 92418-0001 Ph: (909) 381-5100 |
| NPI Number | 1598960874 |
|---|---|
| Provider Enumeration Date | 06/18/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598960874 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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