New Vista Recovery, Inc., NPI 1538222138
Substance Abuse Rehabilitation Facility in Glen Ellen, CA, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1538222138
NPI Entity Type Organization
Provider Name New Vista Recovery, Inc.
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 3020 Warm Springs Rd, Glen Ellen, CA, US
Provider Mailing Address 3020 Warm Springs Rd, Glen Ellen, CA, US, 954428730
Is Sole Proprietor? No
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Organization Official

Official Name MR. MBA Jonathan Fong
Official Position DIRECTOR OF MANAGED CARE
Phone 707-996-6716

Primary Taxonomy

Taxonomy Code

324500000X

Taxonomy Name Substance Abuse Rehabilitation Facility
Classification

Substance Abuse Rehabilitation Facility

Group

Residential Treatment Facilities

License No. 490025AP
License State CA
Description A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

Other Organization Name

Mountain Vista Farm
Doing Business As

Business Address

New Vista Recovery, Inc.
3020 Warm Springs Rd

Glen Ellen, CA, US

Phone: 707-996-6716
Fax: 707-996-0609

Mailing Address

New Vista Recovery, Inc.
3020 Warm Springs Rd
Glen Ellen, CA, US
ZIP 954428730
Phone: 707-996-6716
Fax: 707-996-0609

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