NPI | 1174747935 |
---|---|
Other Name | VISTA PACIFICA |
Entity Type | Organization |
Authorized Contact | JANA TREW Asst. Regional V.P. 909-783-8470 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: CA 374601361) |
Enumeration Date | 2007-04-12 |
Last Update Date | 2020-08-22 |