| Buena Vista Recovery, Llc | |
|
3033 S Arizona Ave Chandler AZ 85248-2717 | |
| (877) 215-2224 | |
| Not Available |
| Full Name | Buena Vista Recovery, Llc |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 3033 S Arizona Ave, Chandler, Arizona |
| Authorized Official Name and Position | Kristina Honiotes (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 4809990851 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Buena Vista Recovery, Llc 8171 E Indian Bend Rd Ste 101 Scottsdale AZ 85250-4830 Ph: (800) 922-0094 | Buena Vista Recovery, Llc 3033 S Arizona Ave Chandler AZ 85248-2717 Ph: (877) 215-2224 |
| NPI Number | 1396303053 |
|---|---|
| Provider Enumeration Date | 05/29/2019 |
| Last Update Date | 07/12/2023 |
| Certification Date | 07/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396303053 | NPI | - | NPPES |
| 549981 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (* (Not Available)) | Primary |
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