03D2121762 CLIA NUMBER - Buena Vista Recovery, Llc

Laboratory Demographics

CLIA Number: 03D2121762

Facility Name: Buena Vista Recovery, Llc

Facility Address:
29858 N Tatum Blvd,
Cave Creek, AZ
ZIP 85331
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Facility Phone Number: (623) 256-4184

Facility Type: OTHER

Certificate Type: Waiver

NPI Number: 1750823498
324500000X - Substance Abuse Rehabilitation Facility
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

CLIA Record

Field Name Field Value
CLIA Number 03D2121762
LAB Type OTHER
Facility Name Buena Vista Recovery, Llc
Street 29858 N Tatum Blvd,
City Cave Creek
State AZ
ZIP 85331
Phone 6232564184

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This page was last updated on: 5/19/2019