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Organization

VISTA CARE, LLC

Active
Other names
Vista Springs Traditions - Chinle
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BROOKE E BALCH (CFO OF THREE SPRINGS INC.)
(256) 880-3339
Entity
Organization

Contact information

Practice address
NAVAJO ROUTE 7, WESTSIDE PRESBYTERIAN CHURCH, CHINLE, AZ 86503
(928) 674-3818
(928) 674-5814
Mailing address
PO BOX 1820, CHINLE, AZ 86503-1820
(928) 674-3818
(928) 674-5814

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
NAVAJO NATION WAIVER
AZ
261QM0855X
Adolescent and Children Mental Health Clinic/Center
NAVAJO NATION WAIVER
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
611807
AZ
Enumeration date
11/01/2006
Last updated
09/11/2025
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