| NPI | 1538726252 |
|---|---|
| Other Name | ALTA VISTA SCHOOL |
| Entity Type | Organization |
| Authorized Contact | ASHLEY RUIZ Executive Director 360-900-7190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2019-05-29 |
| Last Update Date | 2024-07-10 |