Provider Demographics
NPI:1467717967
Name:VISTA HILL
Entity Type:Organization
Organization Name:VISTA HILL
Other - Org Name:VISTA HILL LEARNING ASSISTANCE CENTER- NORTH INLAND
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SR. OPERATIONS DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:760-445-8211
Mailing Address - Street 1:1012 MAIN ST STE 101
Mailing Address - Street 2:
Mailing Address - City:RAMONA
Mailing Address - State:CA
Mailing Address - Zip Code:92065-2170
Mailing Address - Country:US
Mailing Address - Phone:760-788-9724
Mailing Address - Fax:760-788-9754
Practice Address - Street 1:1012 MAIN ST STE 101
Practice Address - Street 2:
Practice Address - City:RAMONA
Practice Address - State:CA
Practice Address - Zip Code:92065-2170
Practice Address - Country:US
Practice Address - Phone:760-788-9724
Practice Address - Fax:760-788-9754
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-10
Last Update Date:2022-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health