| Vista Guidance Centers, Inc. | |
|
3654 Highland Ave Ste 24 Highland CA 92346-2614 | |
| (909) 425-9316 | |
| (909) 425-9327 |
| Full Name | Vista Guidance Centers, Inc. |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 3654 Highland Ave Ste 24, Highland, 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. 3654 Highland Ave Ste 24 Highland CA 92346-2614 Ph: (909) 425-9316 |
| NPI Number | 1356471221 |
|---|---|
| Provider Enumeration Date | 03/07/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356471221 | NPI | - | NPPES |
| 3668 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 360023CN (California) | Primary |
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