Organization
BUENA VISTA RECOVERY, LLC
Active
Parent organization
BUENA VISTA RECOVERY, LLC
Other names
Buena Vista Recovery LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BUENA VISTA RECOVERY, LLC
Authorized official
KRISTINA HONIOTES (CHIEF OPERATING OFFICER)
(480) 999-0851
Entity
Organization
Contact information
Practice address
29858 N TATUM BLVD STE 100, CAVE CREEK, AZ 85331-5865
(800) 922-0094
(877) 215-2224
Mailing address
8171 E INDIAN BEND RD STE 101, SCOTTSDALE, AZ 85250-4830
(800) 922-0094
(877) 215-2224
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
156363
—
AZ
Enumeration date
11/11/2016
Last updated
07/12/2023
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