# VISTA CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Three Springs, Inc.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447357728
- **Authorized official:** MR. BROOKE E BALCH (CEO/CFO, PRESIDENT OF THREE SPRINGS)
- **Authorized official phone:** (256) 880-3339

## Contact information

- **Practice address:** 4120 E RAMSEY RD, HEREFORD, AZ 85615-8917
- **Practice address phone:** (520) 378-6466
- **Practice address fax:** (520) 378-6553
- **Mailing address:** 4120 E RAMSEY RD, HEREFORD, AZ 85615-8917
- **Mailing address phone:** (520) 378-6466
- **Mailing address fax:** (520) 378-6553

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | BH 1920 | AZ | Yes |

## Other

- **Enumeration date:** 09/20/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 593104 | — | AZ |