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Organization

NEW VISTAS RECOVERY, INC.

Active
Other names
MOUNTAIN VISTA FARM
Organization subpart
No

Provider details

NPI number
Authorized official
LISA KIDD (CHIEF EXECUTIVE OFFICER)
(707) 996-6716
Entity
Organization

Contact information

Practice address
4983 SONOMA HIGHWAY, SUITE M, SANTA ROSA, CA 95409
(707) 934-7543
Mailing address
3020 WARM SPRINGS ROAD, GLEN ELLEN, CA 95442
(707) 996-6716
(707) 996-6647

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary

Other

Enumeration date
06/07/2024
Last updated
06/07/2024
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