Organization
VALLE VISTA LLC
Active
Other names
New Vista Outpatient Recovery Center
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE FILTON (SR VP CFO)
(610) 768-3482
Entity
Organization
Contact information
Practice address
65 AIRPORT PKWY STE 104, GREENWOOD, IN 46143-1439
(317) 883-5330
Mailing address
898 E MAIN ST, GREENWOOD, IN 46143-1407
(317) 887-1348
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
—
IN
Other
Enumeration date
03/07/2018
Last updated
12/20/2019
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