Provider Demographics
NPI:1497107585
Name:VISTA VOCATIONAL RESOURCES CENTER INC
Entity Type:Organization
Organization Name:VISTA VOCATIONAL RESOURCES CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF EMPLOYMENT SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:APRIL
Authorized Official - Middle Name:ROSE
Authorized Official - Last Name:ABREGO
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC INTERN
Authorized Official - Phone:210-270-7701
Mailing Address - Street 1:4402 VANCE JACKSON RD
Mailing Address - Street 2:SUITE 260
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78230-5336
Mailing Address - Country:US
Mailing Address - Phone:210-270-7701
Mailing Address - Fax:210-270-7780
Practice Address - Street 1:4402 VANCE JACKSON RD
Practice Address - Street 2:SUITE 260
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78230-5336
Practice Address - Country:US
Practice Address - Phone:210-270-7701
Practice Address - Fax:210-270-7780
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-13
Last Update Date:2016-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
No251B00000XAgenciesCase ManagementGroup - Multi-Specialty