Organization
VISTA CARE, LLC
Active
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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