Healthcare Provider Details

I. General information

NPI: 1053431890
Provider Name (Legal Business Name): VISTA HILL FOUNDATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/29/2007
Last Update Date: 12/27/2022
Certification Date: 12/27/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1012 MAIN ST STE 101
RAMONA CA
92065-2170
US

IV. Provider business mailing address

8910 CLAIREMONT MESA BLVD
SAN DIEGO CA
92123-1104
US

V. Phone/Fax

Practice location:
  • Phone: 760-788-9724
  • Fax:
Mailing address:
  • Phone: 760-788-9724
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ROBERT EMERY DEAN
Title or Position: PRESIDENT & CEO
Credential:
Phone: 858-514-5121