New Vista Recovery, Inc., NPI 1538222138
Substance Abuse Rehabilitation Facility in Glen Ellen, CA, US
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 |
Organization Official
| Official Name | MR. MBA Jonathan Fong |
| Official Position | DIRECTOR OF MANAGED CARE |
| Phone | 707-996-6716 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Substance Abuse Rehabilitation Facility |
| Classification | |
| Group | |
| 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. |
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Heidi Velasquez Individual |
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DR. D.C. Julio Cesar Fassino Individual |
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Jacqueline Daphnee Surpin Individual |
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April Waight Individual |
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Catherine S. Montemayor Individual |
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LMFT Jeremey Sulker-hall Individual |
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M.D., M.P.H. Vivek Datta Individual |
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MFT Yasmin Vishram-morris Individual |
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