Provider Demographics
NPI:1639268683
Name:VISIONS UNLIMITED, INC.
Entity Type:Organization
Organization Name:VISIONS UNLIMITED, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROLEDA
Authorized Official - Middle Name:
Authorized Official - Last Name:BATES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-394-0800
Mailing Address - Street 1:425 PINE ST STE 2
Mailing Address - Street 2:
Mailing Address - City:GALT
Mailing Address - State:CA
Mailing Address - Zip Code:95632-2055
Mailing Address - Country:US
Mailing Address - Phone:209-745-3101
Mailing Address - Fax:209-745-7539
Practice Address - Street 1:425 PINE ST STE 2
Practice Address - Street 2:
Practice Address - City:GALT
Practice Address - State:CA
Practice Address - Zip Code:95632-2055
Practice Address - Country:US
Practice Address - Phone:209-745-3101
Practice Address - Fax:209-745-7539
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
Not Answered261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health