Organization
VISTA ACADEMY
Active
Organization
VISTA ACADEMY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT PFEIFER (CEO)
(626) 797-9977
Entity
Organization
Contact information
Practice address
6233 VARIEL AVE, WOODLAND HILLS, CA 91367-2512
(626) 797-9977
Mailing address
6233 VARIEL AVE, WOODLAND HILLS, CA 91367-2512
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
198207391
CA
Other
Enumeration date
11/19/2012
Last updated
11/19/2012
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