Provider Demographics
NPI:1225334402
Name:VISTA HILL FOUNDATION
Entity Type:Organization
Organization Name:VISTA HILL FOUNDATION
Other - Org Name:PARENTCARE CENTRAL FAMILY RECOVERY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROWE
Authorized Official - Suffix:
Authorized Official - Credentials:LCS W
Authorized Official - Phone:619-668-4205
Mailing Address - Street 1:4125 ALPHA ST
Mailing Address - Street 2:SUITES E-G
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92113-4544
Mailing Address - Country:US
Mailing Address - Phone:619-266-0166
Mailing Address - Fax:619-266-0155
Practice Address - Street 1:4125 ALPHA ST
Practice Address - Street 2:SUITES E-G
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92113-4544
Practice Address - Country:US
Practice Address - Phone:619-266-0166
Practice Address - Fax:619-266-0155
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VISTA HILL FOUNDATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-02-04
Last Update Date:2022-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health