| NPI | 1245456003 |
|---|---|
| Other Name | VISTA MAREA |
| 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 |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2020-08-22 |