New Vista Recovery, Inc.
NPI #1538222138 in Glen Ellen, California
Provider Information
- NPI Number
- 1538222138
- Entity Type
- Organization
- Organization Name
- New Vista Recovery, Inc.
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Dec 18, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 3020 WARM SPRINGS RD
- City
- Glen Ellen
- State
- California
- ZIP Code
- 95442-8730
- Phone
- (707) 996-6716
Authorized Official
- Name
- MR. JONATHAN FONG, MBA
- Title
- DIRECTOR OF MANAGED CARE
- Phone
- (707) 996-6716
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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