Organization
BUENA VISTA RECOVERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINA HONIOTES (CHIEF OPERATING OFFICER)
(480) 999-0851
Entity
Organization
Contact information
Practice address
5151 E PIMA ST STE 120, TUCSON, AZ 85712-3627
(800) 922-0095
(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
320700000X
Physical Disabilities Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
082460
—
AZ
Enumeration date
06/19/2020
Last updated
07/12/2023
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