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Organization
VISTA RECOVERY CENTER
Active
Organization
VISTA RECOVERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAURINE WHITE (PROJECT MANAGER)
(909) 792-0747
Entity
Organization
Contact information
Practice address
939 N D ST, SAN BERNARDINO, CA 92418-0001
(909) 381-5100
(909) 792-0033
Mailing address
PO BOX 7369, REDLANDS, CA 92375-0369
(909) 792-0747
(909) 792-0033
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/18/2007
Last updated
08/22/2020
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