| NPI | 1396808499 |
|---|---|
| Doing Business As | VALLEY VISTA |
| Entity Type | Organization |
| Authorized Contact | SHAWNA HERVEY Administrator 802-222-5201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: VT 0540) |
| Additional Taxonomies | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2020-08-22 |