Provider Demographics
NPI:1598365652
Name:HEARTS FOR SIGHT FOUNDATION
Entity Type:Organization
Organization Name:HEARTS FOR SIGHT FOUNDATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOARD PRESIDENT AND CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:BURTON
Authorized Official - Suffix:
Authorized Official - Credentials:MSW CANIDATE
Authorized Official - Phone:760-433-8430
Mailing Address - Street 1:1540 PROSPECT AVE APT A
Mailing Address - Street 2:
Mailing Address - City:SAN GABRIEL
Mailing Address - State:CA
Mailing Address - Zip Code:91776-4484
Mailing Address - Country:US
Mailing Address - Phone:760-443-8430
Mailing Address - Fax:
Practice Address - Street 1:1540 PROSPECT AVE APT A
Practice Address - Street 2:
Practice Address - City:SAN GABRIEL
Practice Address - State:CA
Practice Address - Zip Code:91776-4484
Practice Address - Country:US
Practice Address - Phone:760-443-8430
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-28
Last Update Date:2020-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Single Specialty
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental HealthGroup - Single Specialty