AVISTA RECOVERY
NPI 1871038067
Substance Abuse Rehabilitation Facility in Noblesville, IN

Active since December 27, 2016
12359 WOLF RUN RD, NOBLESVILLE, IN 46060(630) 815-7737 Get Directions Write a Review

NPPES record last updated: December 27, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Avista Recovery NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AVISTA RECOVERY (NPI 1871038067) is a healthcare organization registered as a substance abuse rehabilitation facility in Noblesville, Indiana and active in the NPI registry since December 2016. The organization lists Charles Licari, Ceo, as its authorized official.

NPPES Registry Identity

NPI1871038067
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameAVISTA RECOVERY
Location Address12359 WOLF RUN RDNoblesville, IN 46060-7232
Mailing Address12359 Wolf Run RdNoblesville, IN 46060-7232 · (630) 815-7737
Organization SubpartNo
Authorized OfficialCharles LicariCeo · (630) 815-7737
Enumeration DateDecember 27, 2016
NPI 1871038067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition

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.

12359 WOLF RUN RD, Noblesville, IN 46060

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1871038067, enumerated as an "organization" on December 27, 2016.

The provider is located at 12359 WOLF RUN RD NOBLESVILLE, IN 46060 and the phone number is (630) 815-7737.

Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.