| NPI | 1063876241 |
|---|---|
| Doing Business As | TARAVISTA BEHAVIORAL HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | MICHAEL PHILIP KRUPA Chief Executive Officer 781-979-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital |
| Enumeration Date | 2016-04-13 |
| Last Update Date | 2016-04-13 |