Provider Demographics
NPI:1902160104
Name:VISTA HILL FOUNDATION
Entity Type:Organization
Organization Name:VISTA HILL FOUNDATION
Other - Org Name:MERIT ACADEMY
Other - Org Type:Other Name
Authorized Official - Title/Position:SENIOR DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVE
Authorized Official - Middle Name:
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:760-445-8211
Mailing Address - Street 1:1600 N CUYAMACA ST
Mailing Address - Street 2:
Mailing Address - City:EL CAJON
Mailing Address - State:CA
Mailing Address - Zip Code:92020-1109
Mailing Address - Country:US
Mailing Address - Phone:619-956-0615
Mailing Address - Fax:619-448-4262
Practice Address - Street 1:1600 N CUYAMACA ST
Practice Address - Street 2:
Practice Address - City:EL CAJON
Practice Address - State:CA
Practice Address - Zip Code:92020-1109
Practice Address - Country:US
Practice Address - Phone:619-956-4695
Practice Address - Fax:619-258-3850
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-02
Last Update Date:2022-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health