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Organization
VISTA GUIDANCE CENTERS, INC.
Active
Organization
VISTA GUIDANCE CENTERS, INC.
Active
Other names
REDLANDS YUCAIPA GUIDANCE CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SONIA J. BORJA (DIRECTOR OF FINANCE)
(909) 335-7067
Entity
Organization
Contact information
Practice address
790 BEAUMONT AVE STE 210, BEAUMONT, CA 92223-5900
(951) 769-7436
(951) 769-7486
Mailing address
PO BOX 7369, REDLANDS, CA 92375-0369
(909) 335-7067
(909) 792-2045
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
330070AN
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3383
—
CA
Enumeration date
03/23/2007
Last updated
08/22/2020
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