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VISTA GUIDANCE CENTERS IN.C NPI 1124158498


NPI Information

NPI: 1124158498
Provider Name: VISTA GUIDANCE CENTERS, IN.C

Former Legal Business Name: REDLANDS YUCAIPA GUIDANCE CENTERS

Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
939 N D ST
SAN BERNARDINO, CA
ZIP 92418
Phone: (909) 381-5100
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VISTA GUIDANCE CENTERS, IN.C is an addiction (substance use disorder) counselor in San Bernardino, CA. VISTA GUIDANCE CENTERS, IN.C NPI is 1124158498. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Redlands Yucaipa Guidance Centers.

The provider's business location address is:

939 N D ST
SAN BERNARDINO, CA
ZIP 92418-001
Phone: (909) 381-5100
Fax: (909) 381-5101

The provider's authorized official is Sonia Jenny Borja .
The authorized official title is Director Of Finance and has the following contact phone number (909) 335-7067.

The enumeration date for this NPI number is 3/6/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)360023DNCALIFORNIAYes
2251S00000XCommunity/Behavioral HealthCALIFORNIAX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13694MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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