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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