Organization
VALLE VISTA LLC
Active
Other names
New Vista North
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE FILTON (VICE PRESIDENT)
(610) 768-3300
Entity
Organization
Contact information
Practice address
4010 W 86TH ST STE D, INDIANAPOLIS, IN 46268-1779
(317) 647-0102
Mailing address
4010 W 86TH ST STE D, INDIANAPOLIS, IN 46268-1779
(317) 647-0102
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
—
—
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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