Organization
CALIFORNIA VISTAS ADDICTION TREATMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL DEL VACCHIO (CEO)
(951) 972-2023
Entity
Organization
Contact information
Practice address
3875 PEONY DR, FALLBROOK, CA 92028-9533
(951) 972-2023
Mailing address
3875 PEONY DR, FALLBROOK, CA 92028-9533
(951) 972-2023
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
330135AP
CA
Other
Enumeration date
04/20/2017
Last updated
04/20/2017
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