| Vista Recovery Systems, Inc | |
|
3114 Browns Mill Rd Johnson City TN 37604-1417 | |
| (423) 631-0432 | |
| (423) 631-0284 |
| Full Name | Vista Recovery Systems, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3114 Browns Mill Rd, Johnson City, Tennessee |
| Authorized Official Name and Position | Teddy Leroy Moorehouse (SECRATARY) |
| Authorized Official Contact | 4236310432 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vista Recovery Systems, Inc 3114 Browns Mill Rd Johnson City TN 37604-1417 Ph: (423) 631-0432 | Vista Recovery Systems, Inc 3114 Browns Mill Rd Johnson City TN 37604-1417 Ph: (423) 631-0432 |
| NPI Number | 1487992939 |
|---|---|
| Provider Enumeration Date | 01/17/2013 |
| Last Update Date | 01/17/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487992939 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LPC0000002819 (Tennessee) | Primary |
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