Organization
OAS, LLC
Active
Other names
Valley Vista
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWNA HERVEY (ADMINISTRATOR)
(802) 222-5201
Entity
Organization
Contact information
Practice address
23 UPPER PLN, BRADFORD, VT 05033-9016
(802) 222-5201
(802) 222-5901
Mailing address
23 UPPER PLN, BRADFORD, VT 05033-9016
(802) 222-5201
(802) 222-5901
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
0540
VT
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
—
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1010872
—
VT
Enumeration date
12/19/2006
Last updated
09/11/2025
Update your record
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