Provider Demographics
NPI:1497478275
Name:VISTA CHARTER SCHOOL
Entity Type:Organization
Organization Name:VISTA CHARTER SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:ALISON
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:MA,LPC, ACS
Authorized Official - Phone:970-249-4470
Mailing Address - Street 1:1810 SAINT MARYS DR
Mailing Address - Street 2:
Mailing Address - City:MONTROSE
Mailing Address - State:CO
Mailing Address - Zip Code:81401-5011
Mailing Address - Country:US
Mailing Address - Phone:970-249-4470
Mailing Address - Fax:
Practice Address - Street 1:1810 SAINT MARYS DR
Practice Address - Street 2:
Practice Address - City:MONTROSE
Practice Address - State:CO
Practice Address - Zip Code:81401-5011
Practice Address - Country:US
Practice Address - Phone:970-249-4470
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-26
Last Update Date:2022-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1000XAmbulatory Health Care FacilitiesClinic/CenterStudent Health
No251300000XAgenciesLocal Education Agency (LEA)