Organization
BUENA VISTA RECOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINA HONIOTES (CHIEF OPERATING OFFICER)
(480) 999-0851
Entity
Organization
Contact information
Practice address
29858 N TATUM BLVD STE 110, CAVE CREEK, AZ 85331-5865
(800) 922-0094
(602) 325-2082
Mailing address
8171 E INDIAN BEND RD STE 101, SCOTTSDALE, AZ 85250-4830
(800) 922-0094
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
549296
—
AZ
Enumeration date
02/23/2017
Last updated
07/12/2023
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